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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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