20D2201289 CLIA NUMBER - ALTERNATIVE SERVICES-NORTHEAST, INC

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Laboratory Demographics

CLIA Number: 20D2201289

Facility Name: ALTERNATIVE SERVICES-NORTHEAST, INC

Facility Address:
1567 LISBON ST SUITE 2
LEWISTON, ME
ZIP 04240
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Facility Phone Number: 207 777-1107

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1114152089

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	20D2201289
LAB Type	Assisted Living Facility
Facility Name	ALTERNATIVE SERVICES-NORTHEAST, INC
Street	1567 LISBON ST SUITE 2
City	LEWISTON
State	ME
ZIP	04240
Phone	207 777-1107
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024