Organization
HOLY CROSS FOSTER HOME
Active
Other names
Linda M. Bard
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M. BARD (FOSTER HOME OPERATOR)
(207) 868-5742
Entity
Organization
Contact information
Practice address
113 CHAMPLAIN ST., VAN BUREN, ME 04785-1446
(207) 868-5742
(207) 868-5742
Mailing address
113 CHAMPLAIN ST., VAN BUREN, ME 04785-1446
(207) 868-5742
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201080000
—
ME
Enumeration date
04/08/2009
Last updated
04/08/2009
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