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Sue Slate
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Exeter, Maine
NPI 1114258324

Sue Slate is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Exeter, ME. Sue Slate practices in Exeter, ME. The NPI Number for Sue Slate is 1114258324 and holds a License No. (Maine).

The current practice location address for Sue Slate is 976 Greenbush Rd, Exeter, ME and can be reached out via phone at 207-379-2809. You can also correspond with Sue Slate through the mailing address at 976 GREENBUSH RD, EXETER, ME - 04435-3316 (mailing address contact number: 207-379-2809).

Location: 976 Greenbush Rd, Exeter, ME, 04435-3316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114258324
Provider Name
Sue Slate
Credential
Provider Entity Type
Individual
Gender
Female
Address
976 Greenbush Rd, Exeter, ME, 04435-3316
Phone Number
207-379-2809
Fax Number
Provider Enumeration Date
01/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
976 Greenbush Rd
City
Exeter
State
Maine
Zip
04435-3316
Phone Number
207-379-2809
Fax Number
person
Provider Business Mailing Address Details
Address
976 Greenbush Rd
City
Exeter
State
Maine
Zip
04435-3316
Phone Number
207-379-2809
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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