Individual
MRS. PENNY ANN PURINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PURINGTONS LANE, GARDINER, ME 04345
(207) 582-5671
Mailing address
23 PURINGTONS LANE, GARDINER, ME 04345
(207) 582-5671
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3001861
ME
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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