Organization
ALL HEARTS SHARED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI WATERHOUSE (OWNER)
(207) 717-2330
Entity
Organization
Contact information
Practice address
48 MAIN ST, SANGERVILLE, ME 04479-3037
(207) 717-2330
Mailing address
48 MAIN ST, SANGERVILLE, ME 04479-3037
(207) 717-2330
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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