Organization
ROSS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY A ROSS (HOME PROVIDER)
(207) 794-3566
Entity
Organization
Contact information
Practice address
926 TRANSALPINE RD, LINCOLN, ME 04457-4418
(207) 794-3566
Mailing address
926 TRANSALPINE RD, LINCOLN, ME 04457-4418
(207) 794-3566
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110000
—
ME
Enumeration date
05/26/2009
Last updated
06/30/2009
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