OUELLETTE FOSTER HOME NPI 1336380443

NPI Information

NPI: 1336380443
Provider Name: OUELLETTE FOSTER HOME

Other Name: ARMAND L OUELLETTE JR.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
162 STATE STREET
VAN BUREN, ME
ZIP 04785
Phone: (207) 868-5881
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OUELLETTE FOSTER HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Van Buren, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OUELLETTE FOSTER HOME NPI is 1336380443. The provider is registered as an organization entity type.
The provider Other Name Is Armand L Ouellette Jr..

The provider's business location address is:

162 STATE STREET
VAN BUREN, ME
ZIP 04785
Phone: (207) 868-5881

The provider's authorized official is Armand L Ouellette .
The authorized official title is Foster Home Operator and has the following contact phone number (207) 868-5881.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 3/19/2009.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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
1	201940000	MEDICAID	MAINE

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: 4/28/2024

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