MEDICARE: SCHOOL ADMINISTRATIVE DISTRICT NO41

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811108376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHOOL ADMINISTRATIVE DISTRICT NO41

Provider Business Mailing Address
First Line	:	37 W MAIN ST
Second Line	:
City	:	MILO
State	:	ME
Zip	:	04463-1053
Country	:	US
Telephone Number	:	207-943-5629
Fax Number	:	207-943-5338

Provider Business Practice Location Address
First Line	:	37 W MAIN ST
Second Line	:
City	:	MILO
State	:	ME
Zip	:	04463-1053
Country	:	US
Telephone Number	:	207-943-5629
Fax Number	:	207-943-5338

Authorized Official
Title or Position	:	SUPERINTENDENT OF SCHOOLS
Name	:	MRS. SHIRLEY N WRIGHT
Credential	:
Telephone Number	:	207-943-7317

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	06/19/2008

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