Healthcare Provider Details

I. General information

NPI: 1427264878
Provider Name (Legal Business Name): MSAD #52
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

486 TURNER CTR RD
TURNER ME
04282-3954
US

IV. Provider business mailing address

486 TURNER CTR RD
TURNER ME
04282-3954
US

V. Phone/Fax

Practice location:
  • Phone: 207-225-3045
  • Fax:
Mailing address:
  • Phone: 207-225-3045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number251C00000X
License Number StateME

VIII. Authorized Official

Name: DEB ALDEN
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 207-225-3045