Individual
WAYNE H GETCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 BRUCKOFF ROAD, CLIFTON, ME 04428-6038
(207) 843-7422
Mailing address
219 BRUCKOFF ROAD, CLIFTON, ME 04428-6038
(207) 843-7422
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS3475
ME
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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