Organization
SHERYL A. PARENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERYL A PARENT (ADMINISTRATOR)
(207) 868-2674
Entity
Organization
Contact information
Practice address
344 MAIN ST, VAN BUREN, ME 04785-1327
(207) 868-2674
(207) 868-3371
Mailing address
344 MAIN ST, VAN BUREN, ME 04785-1327
(207) 868-2674
(207) 868-3371
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218080000
—
ME
Enumeration date
02/26/2009
Last updated
02/26/2009
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