Park Street Home West Paris

NPI 1073666541 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1073666541
Enumeration Date 01/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LORI M LORI
Position ADM OWNER
Phone (207) 674-3372
Fax (207) 527-2645
Practice Location
26 PARK STREET
WEST PARIS ME, 04289-5149, US
Phone (207) 674-3372
Fax (207) 527-2645
Business Location
571 RICHARDSON HOLLOW RD
GREENWOOD ME, 04255-4215, US
Phone (207) 527-2100
Fax (502) 527-2645
Toxanomy
Taxonomy Code 320600000X
License State Maine
License Number AUS2232
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According to our database, Park Street Home West Paris NPI is 1073666541, taxonomy code is 320600000X and license number is AUS2232, license state is located at Maine. Park Street Home West Paris physically located at 26 Park Street, West Paris ME, 04289-5149. NPI Number 1033115704 has the healthcare provider type.

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1073666541 NPI number is provided on an as is basis without warranty of any kind. 1073666541 is maintained by the National Plan & Provider Enumeration System. The contents of Park Street Home West Paris are for informational purposes only.