MEDICARE: TOWN OF WINSLOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	137500002	ME

General Provider Information

NPI Number	:	1023226792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF WINSLOW

Provider Business Mailing Address
First Line	:	55 BENTON AVENUE
Second Line	:
City	:	WINSLOW
State	:	ME
Zip	:	04901
Country	:	US
Telephone Number	:	207-859-2313
Fax Number	:	207-859-2325

Provider Business Practice Location Address
First Line	:	55 BENTON AVENUE
Second Line	:
City	:	WINSLOW
State	:	ME
Zip	:	04901
Country	:	US
Telephone Number	:	207-859-2313
Fax Number	:	207-859-2325

Authorized Official
Title or Position	:	SPECIAL EDUCATION DIRECTOR
Name	:	DEBRAJEAN SCHEIBEL
Credential	:
Telephone Number	:	207-859-2313

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	08/01/2008

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Directions to “TOWN OF WINSLOW ” Practice Location

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