Organization
POTTLE HILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J MCCOY (EXECUTIVE DIRECTOR)
(207) 753-1457
Entity
Organization
Contact information
Practice address
368 MINOT AVE, AUBURN, ME 04210-4331
(207) 753-1457
(207) 753-0505
Mailing address
PO BOX 1537, AUBURN, ME 04211-1537
(207) 753-1457
(207) 753-0505
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111020000
—
ME
05
—
111020001
—
ME
05
—
111020002
—
ME
05
—
111020100
—
ME
05
—
111020101
—
ME
05
—
111020103
—
ME
Enumeration date
11/28/2006
Last updated
07/21/2009
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