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Organization

INFINITE POTENTIAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIRGINIA RUSSELL MUJICA (EXECUTIVE DIRECTOR)
(207) 650-2271
Entity
Organization

Contact information

Practice address
41 PINE HILL RD, CASCO, ME 04015-4138
(207) 650-2271
(207) 221-1384
Mailing address
41 PINE HILL RD, CASCO, ME 04015-4138
(207) 650-2271
(207) 221-1384

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ME

Other

Enumeration date
06/25/2012
Last updated
06/25/2012
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