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Organization

ROLANDO AMADOR

Active
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Organization

ROLANDO AMADOR

Active
Other names
Amador Foster Home
Organization subpart
No

Provider details

NPI number
Authorized official
ROLANDO S AMADOR (OWNER/ADMINISTRATOR)
(207) 833-6219
Entity
Organization

Contact information

Practice address
22 MARSHVIEW WAY, HARPSWELL, ME 04079-3356
(207) 833-6219
(207) 833-2964
Mailing address
22 MARSHVIEW WAY, HARPSWELL, ME 04079-3356
(207) 833-6219
(207) 833-2964

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS2892
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128810000
MEDICARE BILLING NUMBER
ME
Enumeration date
06/25/2009
Last updated
06/25/2009
About Stedi
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