Organization
TEDFORD HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L KNISELEY (EXECUTIVE DIRECTOR)
(207) 729-1161
Entity
Organization
Contact information
Practice address
34 FEDERAL ST, BRUNSWICK, ME 04011-1522
(207) 729-1161
(207) 725-7626
Mailing address
PO BOX 958, BRUNSWICK, ME 04011-0958
(207) 729-1161
(207) 725-7626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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