Organization
ROLANDO AMADOR
Active
Other names
Amador Foster Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO S AMADOR (OWNER/ADMINISTRATOR)
(207) 833-6219
Entity
Organization
Contact information
Practice address
22 MARSHVIEW WAY, HARPSWELL, ME 04079-3356
(207) 833-6219
(207) 833-2964
Mailing address
22 MARSHVIEW WAY, HARPSWELL, ME 04079-3356
(207) 833-6219
(207) 833-2964
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS2892
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128810000
MEDICARE BILLING NUMBER
ME
Enumeration date
06/25/2009
Last updated
06/25/2009
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