Organization
TAMMY'S FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY PARENT (FOSTER HOME OPERATOR)
(207) 868-9889
Entity
Organization
Contact information
Practice address
119 TYLER ST, VAN BUREN, ME 04785-2211
(207) 868-9889
Mailing address
119 TYLER ST, P.O. BOX 274, VAN BUREN, ME 04785-2211
(207) 868-9889
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
—
198890000
—
ME
Enumeration date
03/12/2009
Last updated
03/12/2009
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