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Bernadette Fortin
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Van Buren, Maine
NPI 1184852022

Bernadette Fortin is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Van Buren, ME. Bernadette Fortin practices in Van Buren, ME. The NPI Number for Bernadette Fortin is 1184852022 and holds a License No. (Maine).

The current practice location address for Bernadette Fortin is 144 High St, Van Buren, ME and can be reached out via phone at 207-868-9853.

Location: 144 High St, Van Buren, ME, 04785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184852022
Provider Name
Bernadette Fortin
Credential
Provider Entity Type
Organization
Address
144 High St, Van Buren, ME, 04785
Phone Number
207-868-9853
Fax Number
Provider Enumeration Date
06/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217680000 05 ME
institution
Provider Business Practice Location Address Details
Address
144 High St
City
Van Buren
State
Maine
Zip
04785
Phone Number
207-868-9853
Fax Number
person
Provider Business Mailing Address Details
Address
144 High St
City
Van Buren
State
Maine
Zip
04785
Phone Number
207-868-9853
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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