Port Resources

NPI 1053467779 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1053467779
Enumeration Date 01/26/2007
Last Updated 07/16/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBIN ROBIN
Position DIRECTOR OF FINANCE
Phone (207) 828-0048
Fax (207) 772-3743
Practice Location
280B GANNETT DR
SOUTH PORTLAND ME, 04106-6940, US
Phone (207) 828-0048
Fax (207) 772-3743
Business Location
280B GANNETT DR
SOUTH PORTLAND ME, 04106-6940, US
Phone (207) 828-0048
Fax (207) 772-3743
Toxanomy
Taxonomy Code 320600000X
License State Maine
License Number 388111
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According to our database, Port Resources NPI is 1053467779, taxonomy code is 320600000X and license number is 388111, license state is located at Maine. Port Resources physically located at 280b Gannett Dr, South Portland ME, 04106-6940. NPI Number 1033115704 has the healthcare provider type.

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1053467779 NPI number is provided on an as is basis without warranty of any kind. 1053467779 is maintained by the National Plan & Provider Enumeration System. The contents of Port Resources are for informational purposes only.