| Personal Onsite Development | |
|
100 Manley Rd Auburn ME 04210-3653 | |
| (207) 753-3221 | |
| (207) 753-3222 |
| Full Name | Personal Onsite Development |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 100 Manley Rd, Auburn, Maine |
| Authorized Official Name and Position | Dianne L Cote (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2077533221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Onsite Development Po Box 1507 Lewiston ME 04241-1507 Ph: (207) 753-3221 | Personal Onsite Development 100 Manley Rd Auburn ME 04210-3653 Ph: (207) 753-3221 |
| NPI Number | 1083889950 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083889950 | NPI | - | NPPES |
| 127210000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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