Organization
WILLIAMS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA LOUISE WILLIAMS (HOME PROVIDER)
(207) 532-2008
Entity
Organization
Contact information
Practice address
1429 BANGOR RD, LINNEUS, ME 04730-5114
(207) 532-2008
Mailing address
1429 BANGOR RD, LINNEUS, ME 04730-5114
(207) 532-2008
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
320900000X
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207780000
—
ME
Enumeration date
08/27/2009
Last updated
08/27/2009
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