Individual
MR. PHILLIP PIERCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 DEER HILL LN, HAMPDEN, ME 04444-3400
(207) 862-0026
Mailing address
46 DEER HILL LN, HAMPDEN, ME 04444-3400
(207) 862-0026
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS 3008
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208240000
—
ME
Enumeration date
01/30/2007
Last updated
01/28/2022
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