Organization
DANFORTH HABILITATION ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE YOUNG MLA (EXECUTIVE DIRECTOR)
(207) 448-2327
Entity
Organization
Contact information
Practice address
7 MAPLE STREET, DANFORTH, ME 04424-0217
(207) 448-2327
(207) 448-2010
Mailing address
PO BOX 217, 7 MAPLE STREET, DANFORTH, ME 04424-0217
(207) 448-2327
(207) 448-2010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALLS 3421
ME
310400000X
Assisted Living Facility
ALLS 3422
ME
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
36934
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115410000
—
ME
05
—
115410100
—
ME
05
—
115410200
—
ME
05
—
115410201
—
ME
05
—
115410203
—
ME
05
—
115410204
—
ME
Enumeration date
02/25/2009
Last updated
02/25/2009
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