Organization
SARA L. HOLMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA L HOLMES (PROVIDER)
(207) 532-9214
Entity
Organization
Contact information
Practice address
651 B RD, HOULTON, ME 04730-3722
(207) 532-9214
Mailing address
651 B RD, HOULTON, ME 04730-3722
(207) 532-9214
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
433035000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433035000
MAINE CARE PROVIDER NUMBER
ME
Enumeration date
03/05/2009
Last updated
03/12/2009
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