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Dawn Ouellette
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Eagle Lake, Maine
NPI 1184867590

Dawn Ouellette is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Eagle Lake, ME. Dawn Ouellette practices in Eagle Lake, ME. The NPI Number for Dawn Ouellette is 1184867590 and holds a License No. (Maine).

The current practice location address for Dawn Ouellette is 13 South Brook Lane, Eagle Lake, ME and can be reached out via phone at 207-444-4562 and via fax at 207-444-4069.

Location: 13 South Brook Lane, Eagle Lake, ME, 04739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184867590
Provider Name
Dawn Ouellette
Credential
Provider Entity Type
Organization
Address
13 South Brook Lane, Eagle Lake, ME, 04739
Phone Number
207-444-4562
Fax Number
207-444-4069
Provider Enumeration Date
04/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202220000 05 ME
institution
Provider Business Practice Location Address Details
Address
13 South Brook Lane
City
Eagle Lake
State
Maine
Zip
04739
Phone Number
207-444-4562
Fax Number
207-444-4069
person
Provider Business Mailing Address Details
Address
13 South Brook Lane
City
Eagle Lake
State
Maine
Zip
04739
Phone Number
207-444-4562
Fax Number
207-444-4069
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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