NPI 1891934097
Northern Maine General
Practice location
- Address
- 3388 Aroostook Road, Eagle Lake, ME 04739-0310
- Phone
- (207) 444-5152
- Fax
- (207) 444-6099
- Mailing address
- 229 Soldier Pond Rd, Wallagrass, ME 04781-3006
Authorised official
- Name
- Reynold Raymond
- Title
- Ceo
- Phone
- (207) 444-5152
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1891934097
- Entity type
- Organization
- NPI issued
- 11 Feb 2009
- Record last updated
- 11 Feb 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.