Organization
HOME LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE E DINSMORE (OWNER ADMINISTRATOR)
(207) 862-2358
Entity
Organization
Contact information
Practice address
9 EMERSON DR, HAMPDEN, ME 04444-1526
(207) 862-2358
(207) 862-2358
Mailing address
9 EMERSON DR, HAMPDEN, ME 04444-1526
(207) 862-2358
(207) 862-2358
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NA
ME
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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