| Maine Resource Development Corporation Independent Living Program | |
|
222 Saint John St Suite 233 Portland ME 04102-3041 | |
| (207) 772-1698 | |
| (207) 347-8089 |
| Full Name | Maine Resource Development Corporation Independent Living Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 222 Saint John St, Portland, Maine |
| Authorized Official Name and Position | James B Hurd (DIRECTOR) |
| Authorized Official Contact | 2077721698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Resource Development Corporation Independent Living Program 222 Saint John St Suite 233 Portland ME 04102-3041 Ph: (207) 772-1698 | Maine Resource Development Corporation Independent Living Program 222 Saint John St Suite 233 Portland ME 04102-3041 Ph: (207) 772-1698 |
| NPI Number | 1932349107 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932349107 | NPI | - | NPPES |
| 109270100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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