NPI 1144274564
Community Living Association
Practice location
- Address
- 45 School St, Houlton, ME 04730-2010
- Phone
- (207) 532-9446
- Fax
- (207) 532-1359
Authorised official
- Name
- Shannon Jon Hogan
- Title
- Finance Manager
- Phone
- (207) 532-9446
Registered specialties (10)
Nursing Care Agency
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1144274564
- Entity type
- Organization
- NPI issued
- 20 May 2006
- Record last updated
- 10 Jun 2010
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.