Organization
MERCY CARE RESIDENTIAL (MCR(
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMO DOL (PROGRAM DIRECTOR)
(207) 754-9115
Entity
Organization
Contact information
Practice address
95 PARK ST STE 519, LEWISTON, ME 04240-7282
(207) 754-9115
Mailing address
PO BOX 3681, AUBURN, ME 04212-3681
(207) 754-9115
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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