Ross Home

NPI #1639304223 in Lincoln, Maine

Provider Information

NPI Number: 1639304223
Entity Type: Organization
Organization Name: Ross Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 26, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 926 TRANSALPINE RD
City: Lincoln
State: Maine
ZIP Code: 04457-4418
Phone: (207) 794-3566

Authorized Official

Name: MS. SHIRLEY A ROSS
Title: HOME PROVIDER
Phone: (207) 794-3566

Specialties & Taxonomy Codes

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

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