Constance Jones

NPI #1144553777 in Boothbay, Maine

Provider Information

NPI Number: 1144553777
Entity Type: Organization
Organization Name: Constance Jones
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 15, 2009
Last Updated: Sep 24, 2013

Practice Location

Address: 2 WATERFRONT LN N
City: Boothbay
State: Maine
ZIP Code: 04537-4438
Phone: (207) 633-5070

Authorized Official

Name: CONSTANCE JONES
Title: HOME-BASE WAIVER PROVIDER
Phone: (207) 633-5070

Specialties & Taxonomy Codes

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

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