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Organization

WITHAM'S RESIDENTIAL CARE, LLC

Active
Other names
WILLIAM RAYMOND WITHAM SR.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM RAYMOND WITHAM SR. (OWNER/ADMINISTRATOR)
(207) 547-3129
Entity
Organization

Contact information

Practice address
198 SHEPHERD RD, SIDNEY, ME 04330-2332
(207) 547-3425
(207) 547-3129
Mailing address
198 SHEPHERD RD, SIDNEY, ME 04330-2332
(207) 547-3425
(207) 547-3129

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/11/2019
Last updated
04/11/2019
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