Pine Hill Home Supports,inc.

NPI #1790922979 in Monmouth, Maine

Provider Information

NPI Number: 1790922979
Entity Type: Organization
Organization Name: Pine Hill Home Supports,inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 9, 2009
Last Updated: Jan 9, 2009

Practice Location

Address: 198 PINE HILL RD
City: Monmouth
State: Maine
ZIP Code: 04259-7517
Phone: (207) 933-2915

Authorized Official

Name: DANIEL RUSH
Title: FINANCIAL MANAGER
Phone: (207) 933-2915

Specialties & Taxonomy Codes

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

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