Organization
MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 72
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HALL (DIRECTOR OF SPECIAL SERVICES)
(207) 935-2600
Entity
Organization
Contact information
Practice address
124 PORTLAND STREET, FRYEBURG, ME 04037
(207) 935-2600
(207) 935-3787
Mailing address
124 PORTLAND STREET, FRYEBURG, ME 04037
(207) 935-2600
(207) 935-3787
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104390001
—
ME
Enumeration date
05/09/2007
Last updated
07/24/2008
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