Organization
ENSIGN BOARDING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH EVE SMITH (PRESIDENT)
(207) 938-2020
Entity
Organization
Contact information
Practice address
83 ELM STREET, HARTLAND, ME 04943-0685
(207) 938-2020
(207) 938-3833
Mailing address
P.O. BOX 685, 83 ELM STREET, HARTLAND, ME 04943-0685
(207) 938-2020
(207) 938-3833
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS3389
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128390000
—
ME
Enumeration date
06/03/2009
Last updated
06/03/2009
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