Organization
KENNISON FAMILY FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M. KENNISON HOME PROVIDER (OWNER)
(207) 527-2405
Entity
Organization
Contact information
Practice address
353 GREENWOOD RD, NORWAY, ME 04268-4402
(207) 527-2405
Mailing address
353 GREENWOOD RD, NORWAY, ME 04268-4402
(207) 527-2405
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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