Organization
RHONDA PARENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA M PARENT (HOME PROVIDER)
(207) 868-9708
Entity
Organization
Contact information
Practice address
118 WRIGHT ST, VAN BUREN, ME 04785-1352
(207) 868-9708
(207) 868-5336
Mailing address
118 WRIGHT ST, VAN BUREN, ME 04785-1352
(207) 868-9708
(207) 868-5336
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
—
202440000
—
ME
Enumeration date
05/20/2009
Last updated
05/20/2009
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