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Organization
WITHAM'S RESIDENTIAL CARE, LLC
Active
Organization
WITHAM'S RESIDENTIAL CARE, LLC
Active
Other names
WILLIAM RAYMOND WITHAM SR.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RAYMOND WITHAM SR. (OWNER/ADMINISTRATOR)
(207) 547-3129
Entity
Organization
Contact information
Practice address
198 SHEPHERD RD, SIDNEY, ME 04330-2332
(207) 547-3425
(207) 547-3129
Mailing address
198 SHEPHERD RD, SIDNEY, ME 04330-2332
(207) 547-3425
(207) 547-3129
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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