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Ronald Phillip Small
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Corinth, Maine
NPI 1194058313

Ronald Phillip Small is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Corinth, ME. Ronald Phillip Small practices in Corinth, ME. The NPI Number for Ronald Phillip Small is 1194058313 and holds a License No. ALLS3410 (Maine).

The current practice location address for Ronald Phillip Small is 316 Main St, Corinth, ME and can be reached out via phone at 207-285-3281.

Location: 316 Main St, Corinth, ME, 04427-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194058313
Provider Name
Ronald Phillip Small
Credential
Provider Entity Type
Individual
Gender
Male
Address
316 Main St, Corinth, ME, 04427-0129
Phone Number
207-285-3281
Fax Number
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200550000 05 ME
institution
Provider Business Practice Location Address Details
Address
316 Main St
City
Corinth
State
Maine
Zip
04427-3031
Phone Number
207-285-3281
Fax Number
person
Provider Business Mailing Address Details
Address
316 Main St
City
Corinth
State
Maine
Zip
04427-3031
Phone Number
207-285-3281
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.
ALLS3410 (Maine)
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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