Organization
MERT ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E. RUSH (EXECUTIVE DIRECTOR)
(207) 942-4585
Entity
Organization
Contact information
Practice address
225 BOMARC RD., BANGOR, ME 04401
(207) 942-4585
(207) 942-1574
Mailing address
P.O. BOX 1234, BANGOR, ME 04402-1234
(207) 942-4585
(207) 942-1574
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
05/12/2009
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