Organization
BRIDGES OF MAINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA ALEXIS (OWNER)
(207) 657-5585
Entity
Organization
Contact information
Practice address
20 SHAKER ROAD, GRAY, ME 04039
(207) 657-5585
(207) 657-5584
Mailing address
PO BOX 1386, GRAY, ME 04039-1386
(207) 657-5585
(207) 657-5584
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155470000
—
ME
05
—
431811300
—
ME
05
—
431934200
—
ME
Enumeration date
05/18/2009
Last updated
05/18/2009
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