Individual
MRS. LINDA GALE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 E RIDGE RD, CORNVILLE, ME 04976-6509
(207) 474-0776
(207) 474-0779
Mailing address
1309 E RIDGE RD, CORNVILLE, ME 04976-6509
(207) 474-0776
(207) 474-0779
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS 2805
ME
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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