Mercy Care Residential (mcr(

NPI #1689233512 in Lewiston, Maine

Provider Information

NPI Number: 1689233512
Entity Type: Organization
Organization Name: Mercy Care Residential (mcr(
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 13, 2019
Last Updated: Jun 13, 2019

Practice Location

Address: 95 PARK ST STE 519
City: Lewiston
State: Maine
ZIP Code: 04240-7282
Phone: (207) 754-9115

Authorized Official

Name: ASMO DOL
Title: PROGRAM DIRECTOR
Phone: (207) 754-9115

Specialties & Taxonomy Codes

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

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