Organization
ST ANDRE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GAUVIN (EXECUTIVE DIRECTOR)
(207) 282-3351
Entity
Organization
Contact information
Practice address
168 PROSPECT ST, BIDDEFORD, ME 04005-3093
(207) 282-3351
(207) 282-8733
Mailing address
168 PROSPECT ST, BIDDEFORD, ME 04005-3093
(207) 282-3351
(207) 282-8733
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168230000
—
ME
05
—
435407000
—
ME
Enumeration date
02/09/2010
Last updated
01/16/2019
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