Organization
EL RANCHO DE LA VIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SMITH (OPERATIONS DIRECTOR)
(207) 387-0101
Entity
Organization
Contact information
Practice address
62 PAGE TERRACE, FAIRFIELD, ME 04944
(207) 387-0101
Mailing address
PO BOX 1, HINCKLEY, ME 04944-0001
(207) 387-0101
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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