Healthcare Provider Details

I. General information

NPI: 1659592871
Provider Name (Legal Business Name): MSAD #31
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CROSS ST
HOWLAND ME
04448-3711
US

IV. Provider business mailing address

23 CROSS ST
HOWLAND ME
04448-3711
US

V. Phone/Fax

Practice location:
  • Phone: 207-732-3112
  • Fax:
Mailing address:
  • Phone: 207-732-3112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JERRY WHITE
Title or Position: SUPERINTENDENT
Credential:
Phone: 207-742-3112