Organization
PENNY A. PURINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY ANN PURINGTON (OWNER)
(207) 582-5671
Entity
Organization
Contact information
Practice address
23 PURINGTONS LANE, GARDINER, ME 04345
(207) 582-5671
Mailing address
23 PURINGTONS LANE, GARDINER, ME 04345
(207) 582-5671
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3001861
ME
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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