NPI 1083940209

Mac Residential Services, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Embden Lake, ME

Practice location

Address: 60 Dunbar Hill Rd, Embden Lake, ME 04958
Phone: (207) 566-5766
Mailing address: 10 Mount Vista Dr, Sidney, ME 04330-2302

Authorised official

Name: Kim R McMahon
Title: Owner/Administrator
Phone: (207) 547-4692

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence ALLS 3417 (ME)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maine →

Registry record

NPI: 1083940209
Entity type: Organization
NPI issued: 22 Oct 2009
Record last updated: 22 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.