Organization
SCHOOL ADMIN DISTRICT NO. 57
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK SHERBURNE (SUPERINTENDENT OF SCHOOLS)
(207) 247-3221
Entity
Organization
Contact information
Practice address
86 WEST RD, WATERBORO, ME 04087-3209
(207) 247-3221
Mailing address
86 WEST RD, WATERBORO, ME 04087-3209
(207) 247-3221
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038200001
—
ME
Enumeration date
05/15/2007
Last updated
10/07/2008
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