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OLD TOWN SCHOOL DEPT. NPI 1316166580


NPI Information

NPI: 1316166580
Provider Name: OLD TOWN SCHOOL DEPT.

Doing Business As: OLD TOWN REGIONAL DAY TREATMENT PROGRAM

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
21 JEFFERSON ST
OLD TOWN, ME
ZIP 04468
Phone: (207) 827-4441
Get Directions

OLD TOWN SCHOOL DEPT. is a day training developmentally disabled services in Old Town, ME. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. OLD TOWN SCHOOL DEPT. NPI is 1316166580. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Town Regional Day Treatment Program.

The provider's business location address is:

21 JEFFERSON ST
OLD TOWN, ME
ZIP 04468-106
Phone: (207) 827-4441
Fax: (207) 827-4449

The provider's authorized official is Anne Marie Boucher .
The authorized official title is Interim Director and has the following contact phone number (207) 827-4441.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1136030002MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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