Organization
CITY OF PORTLAND
Active
Other names
BARRON CENTER ADULT DAY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERALYN P LOGUE (PRINCIPAL FINANCIAL OFFICER)
(207) 541-6500
Entity
Organization
Contact information
Practice address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-6500
(207) 541-6555
Mailing address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-6500
(207) 541-6555
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ALLS 3248
ME
261QA0600X
Adult Day Care Clinic/Center
ALLS 3249
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136040200
—
ME
Enumeration date
05/19/2009
Last updated
05/28/2020
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