Healthcare Provider Details

I. General information

NPI: 1649484023
Provider Name (Legal Business Name): MAINE SCHOOL ADMINISTRATIVE DISTRICT 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 SCHOOL STREET
UNITY ME
04988-9734
US

IV. Provider business mailing address

74 SCHOOL STREET
UNITY ME
04988-9734
US

V. Phone/Fax

Practice location:
  • Phone: 207-948-6136
  • Fax: 207-948-2678
Mailing address:
  • Phone: 207-948-6136
  • Fax: 207-948-2678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. CARRIE THURSTON
Title or Position: DIRECTOR OF PUPIL SERVICES
Credential:
Phone: 207-948-6136