Organization
KYI'S PLACE RESIDENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APPOLONIA SHEPPARD (CHEIF EXECUTIVE OFFICER)
(207) 315-1591
Entity
Organization
Contact information
Practice address
120 CARL BAILEY RD, WALPOLE, ME 04573-3335
(207) 315-1591
Mailing address
120 CARL BAILEY RD, WALPOLE, ME 04573-3335
(207) 315-1591
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/11/2024
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