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Organization
CASA, INC.
Active
Organization
CASA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE D WALP (EXECUTIVE DIRECTOR)
(207) 879-6165
Entity
Organization
Contact information
Practice address
741 WARREN AVE, PORTLAND, ME 04103-1007
(207) 879-6165
(207) 879-7466
Mailing address
PO BOX 150, WESTBROOK, ME 04098-0150
(207) 879-6165
(207) 879-7466
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
ME
311ZA0620X
Adult Care Home Facility
Primary
—
ME
315P00000X
Intellectual Disabilities Intermediate Care Facility
36670
ME
Other
Enumeration date
08/30/2007
Last updated
04/20/2008
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