Organization
MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 55
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL DEHMER (BUSINESS MANAGER)
(207) 625-2490
Entity
Organization
Contact information
Practice address
213 SO. HIRAM RD., HIRAM, ME 04041
(207) 625-3285
Mailing address
137 SOUTH HIRAM ROAD, HIRAM, ME 04041
(207) 625-2490
(207) 625-7065
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103830002
—
ME
Enumeration date
05/08/2007
Last updated
07/29/2008
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