Community Living Association

NPI #1144274564 in Houlton, Maine

Provider Information

NPI Number: 1144274564
Entity Type: Organization
Organization Name: Community Living Association
Primary Specialty: Nursing Care
Enumeration Date: May 20, 2006
Last Updated: Jun 10, 2010

Practice Location

Address: 45 SCHOOL ST
City: Houlton
State: Maine
ZIP Code: 04730-2010
Phone: (207) 532-9446

Authorized Official

Name: MR. SHANNON JON HOGAN
Title: FINANCE MANAGER
Phone: (207) 532-9446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Nursing Care	251J00000X	Primary

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