Healthcare Provider Details

I. General information

NPI: 1346455144
Provider Name (Legal Business Name): MANCHESTER, MOUNT VERNON, READFIELD, WAYNE COMMUNITY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
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: 207-685-3336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: RICHARD ABRAMSON
Title or Position: SUPERINTENDENT
Credential:
Phone: 207-685-3336