Organization
SAD 29
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JERRY MOREY JR. (SPED ADMIN. ASSISTANT)
(207) 538-3884
Entity
Organization
Contact information
Practice address
7 BIRD ST, HOULTON, ME 04730-2402
(207) 532-6555
(207) 532-6481
Mailing address
PO BOX 190, 7 BIRD STREET, HOULTON, ME 04730-0190
(207) 532-6555
(207) 532-6481
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103250001
—
ME
Enumeration date
05/14/2007
Last updated
10/23/2020
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