Organization
LABRECQUE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH LABRECQUE II (ADMINISTRATOR)
(207) 793-8103
Entity
Organization
Contact information
Practice address
97 DEMERITT RD, WEST NEWFIELD, ME 04095
(207) 793-8103
(207) 793-2408
Mailing address
PO BOX 649, SANFORD, ME 04073-0649
(207) 793-8103
(207) 793-2408
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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