| St Andre Home Inc. | |
|
168 Prospect St Biddeford ME 04005-3093 | |
| (207) 282-3351 | |
| (207) 282-8733 |
| Full Name | St Andre Home Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 168 Prospect St, Biddeford, Maine |
| Authorized Official Name and Position | Terry Gauvin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2072823351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Andre Home Inc. 168 Prospect St Biddeford ME 04005-3093 Ph: (207) 282-3351 | St Andre Home Inc. 168 Prospect St Biddeford ME 04005-3093 Ph: (207) 282-3351 |
| NPI Number | 1508198037 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508198037 | NPI | - | NPPES |
| 168230000 | Medicaid | ME | |
| 435407000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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