Organization
NANCY TARBELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY LYNN TARBELL (OWNER)
(207) 448-3008
Entity
Organization
Contact information
Practice address
6 DANFORTH RD., HAYNESVILLE, ME 04497
(207) 448-3008
Mailing address
6 DANFORTH RD., HAYNESVILLE, ME 04497
(207) 448-3008
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432762900
—
ME
Enumeration date
04/21/2009
Last updated
04/21/2009
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