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NPI Code Detail

MEDICARE: NR MAINE LLC

MEDICARE: NR MAINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251S00000XCommunity/Behavioral Health Agency
3261QH0700XHearing and Speech Clinic/Center
4261QP2000XPhysical Therapy Clinic/Center
5261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1902616568
Entity Type Code : Organization
Provider Name (Legal Business Name) : NR MAINE LLC
Provider Business Mailing Address
First Line : 6600 FRANCE AVE S STE 350
Second Line :
City : EDINA
State : MN
Zip : 55435-1810
Country : US
Telephone Number : 800-388-5150
Fax Number :
Provider Business Practice Location Address
First Line : 8 SCIENCE PARK RD
Second Line :
City : SCARBOROUGH
State : ME
Zip : 04074-6112
Country : US
Telephone Number : 800-743-6802
Fax Number :
Authorized Official
Title or Position : VP & SR ASST GENERAL COUNSEL
Name : MARY PATRICIA RODENBERG-ROBERTS
Credential :
Telephone Number : 952-836-2234
Provider Enumeration Date : 01/07/2025
Last Update Date : 05/20/2025

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Directions to “NR MAINE LLC ” Practice Location

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