Linda Gale Drake

NPI 1104069384 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1104069384
Gender Female
Enumeration Date 04/17/2009
Last Updated 04/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1309 E RIDGE RD
CORNVILLE ME, 04976-6509, US
Phone (207) 474-0776
Fax (207) 474-0779
Business Location
1309 E RIDGE RD
CORNVILLE ME, 04976-6509, US
Phone (207) 474-0776
Fax (207) 474-0779
Toxanomy
Taxonomy Code 320600000X
License State Maine
License Number ALLS 2805
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According to our database, Mrs. Linda Gale Drake NPI is 1104069384, taxonomy code is 320600000X and license number is ALLS 2805, license state is located at Maine. Linda Gale Drake physically located at 1309 E Ridge Rd, Cornville ME, 04976-6509. NPI Number Linda Gale Drake has the Individual type.

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1104069384 NPI number is provided on an as is basis without warranty of any kind. 1104069384 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Gale Drake are for informational purposes only.