Organization
ST REMIE'S FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LENA RUEST (FOSTER HOME OPOERATOR)
(207) 868-5625
Entity
Organization
Contact information
Practice address
109 CHURCH ST, VAN BUREN, ME 04785-1445
(207) 868-5625
(207) 868-5625
Mailing address
109 CHURCH ST, PO BOX 138, VAN BUREN, ME 04785-1445
(207) 868-5625
(207) 868-5625
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
—
206850001
—
ME
Enumeration date
02/28/2009
Last updated
02/28/2009
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