Organization
LEANE F MCMASTER
Active
Other names
Randolph House
Organization subpart
No
Provider details
NPI number
Authorized official
LEANE MCMASTER (OWNER)
(207) 242-1551
Entity
Organization
Contact information
Practice address
15 WINDSOR ST, RANDOLPH, ME 04346-5201
(207) 242-1551
Mailing address
15 WINDSOR ST, RANDOLPH, ME 04346-5201
(207) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS 2065
ME
Other
Enumeration date
06/28/2009
Last updated
08/13/2019
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