Whalio Doctors

NPI 1023506284

Melissa Rose, DSP

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

Practice location

Address
46 Neal St, Gardiner, ME 04345
Phone
(207) 557-4686
Mailing address
46 Neal St, Gardiner, ME 04345-2005

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1023506284
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Apr 2018
Record last updated
23 Jul 2018

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.