Healthcare Provider Details

I. General information

NPI: 1497082804
Provider Name (Legal Business Name): RSU 38
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MILLARD HARRISON DR
READFIELD ME
04355-3583
US

IV. Provider business mailing address

45 MILLARD HARRISON DR
READFIELD ME
04355-3583
US

V. Phone/Fax

Practice location:
  • Phone: 207-685-4372
  • Fax: 207-685-9458
Mailing address:
  • Phone: 207-685-4372
  • Fax: 207-685-9458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LEW COLLINS
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 207-685-4372