Healthcare Provider Details

I. General information

NPI: 1023226792
Provider Name (Legal Business Name): TOWN OF WINSLOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BENTON AVENUE
WINSLOW ME
04901
US

IV. Provider business mailing address

55 BENTON AVENUE
WINSLOW ME
04901
US

V. Phone/Fax

Practice location:
  • Phone: 207-859-2313
  • Fax: 207-859-2325
Mailing address:
  • Phone: 207-859-2313
  • Fax: 207-859-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number137500002
License Number StateME

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DEBRAJEAN SCHEIBEL
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 207-859-2313