Organization
TEDFORD HOUSING- COMMUNITY HOMELESS PREVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON KNISELEY (EXECUTIVE DIRECTOR)
20772911961
Entity
Organization
Contact information
Practice address
34 FEDERAL STREET, BRUNSWICK, ME 04011
(207) 729-6618
(207) 725-7625
Mailing address
P.O. BOX 958, BRUNSWICK, ME 04011
(207) 729-1161
(207) 725-7626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117540001
—
ME
Enumeration date
10/08/2008
Last updated
10/08/2008
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