Healthcare Provider Details

I. General information

NPI: 1326284092
Provider Name (Legal Business Name): SKILLS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 HARTLAND RD
SAINT ALBANS ME
04971-7436
US

IV. Provider business mailing address

461 HARTLAND RD
SAINT ALBANS ME
04971-7436
US

V. Phone/Fax

Practice location:
  • Phone: 207-938-4615
  • Fax:
Mailing address:
  • Phone: 207-938-4615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateME

VIII. Authorized Official

Name: THOMAS DAVIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 207-938-4615