Organization
CITY OF PORTLAND
Active
Other names
Family Shelter
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI J WATERHOUSE (SENIOR ACCOUNTANT)
(207) 775-7911
Entity
Organization
Contact information
Practice address
196 LANCASTER ST, PORTLAND, ME 04101-2418
(207) 775-7911
(207) 775-7918
Mailing address
196 LANCASTER ST, PORTLAND, ME 04101-2418
(207) 775-7911
(207) 775-7918
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
761
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136040500
—
ME
05
—
136040501
—
ME
Enumeration date
01/02/2008
Last updated
07/15/2009
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