Organization
MID MAINE HOMELESS SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MARSTON (EXECUTIVE DIRECTOR)
(207) 872-8082
Entity
Organization
Contact information
Practice address
28 TICONIC STREET, WATERVILLE, ME 04903-2612
(207) 872-8082
(207) 872-6550
Mailing address
PO BOX 2612, WATERVILLE, ME 04903-2612
(207) 872-8082
(207) 872-6550
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423860000
—
ME
Enumeration date
03/20/2008
Last updated
03/20/2008
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