person
Mr. Earl M Nickerson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Belfast, Maine
NPI 1144359910

Earl M Nickerson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Belfast, ME. Earl M Nickerson practices in Belfast, ME. The NPI Number for Earl M Nickerson is 1144359910 and holds a License No. ALLSL916 (Maine).

The current practice location address for Earl M Nickerson is 9 Doak Rd, Belfast, ME and can be reached out via phone at 207-338-3605 and via fax at 207-338-0589. You can also correspond with Earl M Nickerson through the mailing address at 9 DOAK RD, BELFAST, ME - 04915 (mailing address contact number: 207-338-3605).

Location: 9 Doak Rd, Belfast, ME, 04915
person
Provider Profile Details
NPI Number
1144359910
Provider Name
Earl M Nickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
9 Doak Rd, Belfast, ME, 04915
Phone Number
207-338-3605
Fax Number
207-338-0589
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 Doak Rd
City
State
Zip
04915
Phone Number
207-338-3605
Fax Number
207-338-0589
person
Provider Business Mailing Address Details
Address
9 Doak Rd
City
State
Zip
04915
Phone Number
207-338-3605
Fax Number
207-338-0589
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
ALLSL916 (Maine)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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