Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
MMC Vocational Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
39 FOREST AVE, PORTLAND, ME 04101
(207) 662-4303
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/11/2020
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