Tedford Housing-Evergreen Woods

NPI #1659520096 in Bath, Maine

Provider Information

NPI Number: 1659520096
Entity Type: Organization
Organization Name: Tedford Housing-Evergreen Woods
Primary Specialty: Case Management
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 10 JAMES WAY
City: Bath
State: Maine
ZIP Code: 04530
Phone: (207) 729-1161

Authorized Official

Name: DON KNISELEY
Title: EXECUTIVE DIRECTOR
Phone: (207) 729-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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