Witham's Residential Care, LLC

NPI #1720541246 in Sidney, Maine

Provider Information

NPI Number: 1720541246
Entity Type: Organization
Organization Name: Witham's Residential Care, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 11, 2019
Last Updated: Apr 11, 2019

Practice Location

Address: 198 SHEPHERD RD
City: Sidney
State: Maine
ZIP Code: 04330-2332
Phone: (207) 547-3425

Authorized Official

Name: MR. WILLIAM RAYMOND WITHAM SR.
Title: OWNER/ADMINISTRATOR
Phone: (207) 547-3129

Specialties & Taxonomy Codes

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

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