Organization
MAC RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM R MCMAHON (OWNER/ADMINISTRATOR)
(207) 547-4692
Entity
Organization
Contact information
Practice address
60 DUNBAR HILL RD, EMBDEN LAKE, ME 04958
(207) 566-5766
Mailing address
10 MOUNT VISTA DR, SIDNEY, ME 04330-2302
(207) 547-4692
(207) 547-2149
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS 3417
ME
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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