Organization
PINE HILL HOME SUPPORTS,INC.
Active
Other names
Rushes Foster Homes
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RUSH (FINANCIAL MANAGER)
(207) 933-2915
Entity
Organization
Contact information
Practice address
198 PINE HILL RD, MONMOUTH, ME 04259-7517
(207) 933-2915
(207) 933-9122
Mailing address
198 PINE HILL RD., MONMOUTH, ME 04259
(207) 933-2915
(207) 933-9122
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
ALLS 2371
ME
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS 3061
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125520000
—
ME
05
—
125520001
—
ME
Enumeration date
01/09/2009
Last updated
01/09/2009
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