Healthcare Provider Details

I. General information

NPI: 1649495110
Provider Name (Legal Business Name): WAYPOINT MAINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DUNAWAY DR
SANFORD ME
04073-5143
US

IV. Provider business mailing address

5 DUNAWAY DR
SANFORD ME
04073-5143
US

V. Phone/Fax

Practice location:
  • Phone: 207-324-7955
  • Fax: 207-324-6050
Mailing address:
  • Phone: 207-324-7955
  • Fax: 207-324-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY LYNN BJORNSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 207-324-7955