MR. Randall S Roberts

NPI #1649404609 in Patten, Maine

Provider Information

NPI Number: 1649404609
Entity Type: Individual
Name: MR. Randall S Roberts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 6, 2009
Last Updated: May 6, 2009

Practice Location

Address: 52 GARDNER STREET
Address 2: APT A
City: Patten
State: Maine
ZIP Code: 04765
Phone: (207) 538-5279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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