Organization
MCKAY SHARED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN F PITTS (PROGRAM ADMINISTRATOR)
(207) 232-0975
Entity
Organization
Contact information
Practice address
240 MAIN STREET, OLD TOWN, ME 04468
(207) 827-4710
(866) 477-1018
Mailing address
PO BOX 411, MILFORD, ME 04461
(207) 827-4710
(866) 477-1018
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198880000
—
ME
Enumeration date
03/28/2007
Last updated
12/15/2009
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