Organization
LIVING INNOVATIONS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRIE M. LANDRY (DIRECTOR OF FINANCE & ACCOUNTING)
(603) 534-6089
Entity
Organization
Contact information
Practice address
1059 MEADOW RD, CASCO, ME 04015-3038
(207) 627-2267
(207) 627-2269
Mailing address
273 LOCUST ST, STE 2C, DOVER, NH 03820
(603) 534-6089
(207) 627-2269
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC2168981146
VENDOR CUSTOMER NUMBER
ME
Enumeration date
01/15/2009
Last updated
10/16/2025
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