Whalio Doctors

NPI 1003962150

Rae Ellen Snow

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Charleston, ME

Practice location

Address
21 Bacon Rd, Charleston, ME 04422-3212
Phone
(207) 285-3842

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence ALLS 1363 (ME)

Registry record

NPI
1003962150
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jan 2007
Record last updated
9 Jul 2007

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.