Organization
MSAD #57
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK SHERBURNE (SPECIAL EDUCATION DIRECTOR)
(207) 247-3221
Entity
Organization
Contact information
Practice address
86 WEST RD, WATERBORO, ME 04087-3209
(207) 247-3221
Mailing address
86 WEST RD, WATERBORO, ME 04087-3209
(207) 247-3221
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038200000
—
ME
Enumeration date
05/15/2007
Last updated
08/22/2020
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