Kennison Family Foster Home

NPI #1659569218 in Norway, Maine

Provider Information

NPI Number
1659569218
Entity Type
Organization
Organization Name
Kennison Family Foster Home
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 9, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
353 GREENWOOD RD
City
Norway
State
Maine
ZIP Code
04268-4402
Phone
(207) 527-2405

Authorized Official

Name
MRS. DONNA M. KENNISON, HOME PROVIDER
Title
OWNER
Phone
(207) 527-2405

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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