Organization
LIBBY'S FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA L LIBBY (ADMINISTRATOR)
(207) 793-4567
Entity
Organization
Contact information
Practice address
123 DEMERITT RD, WEST NEWFIELD, ME 04095-3427
(207) 793-4567
Mailing address
123 DEMERITT RD, WEST NEWFIELD, ME 04095-3427
(207) 793-4567
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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