=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568676039
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWN OF LIMESTONE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/10/2007
-----------------------------------------------------
Last Update Date | 03/19/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 93 HIGH ST
-----------------------------------------------------
City | LIMESTONE
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04750-1141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-325-4700
-----------------------------------------------------
Fax | 207-325-4780
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 97 HIGH ST
-----------------------------------------------------
City | LIMESTONE
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04750-1141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-325-4888
-----------------------------------------------------
Fax | 207-325-4969
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERINTENDENT OF SCHOOLS
-----------------------------------------------------
Name | MR. WILLIAM DOBBINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-325-4700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------