Organization
FULLCIRCLE SUPPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD MCNEFF (VICE PRESIDENT)
(207) 485-4005
Entity
Organization
Contact information
Practice address
6 STODDARD LN, HALLOWELL, ME 04347-1429
(207) 620-7196
Mailing address
6 STODDARD LN, HALLOWELL, ME 04347-1429
(207) 620-7196
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
636428
ME
251S00000X
Community/Behavioral Health Agency
636428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636428
MAINE CAEW
ME
Enumeration date
03/30/2012
Last updated
04/24/2012
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