Individual
MICHAEL C LOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 WEYMOUTH RD, MORRILL, ME 04952-5007
(207) 342-4130
Mailing address
29 WEYMOUTH RD, MORRILL, ME 04952-5007
(207) 342-4130
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/28/2011
Last updated
05/28/2011
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