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Kimberly Iverne Rodriguez, CRMA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Patten, Maine
NPI 1386878346

Kimberly Iverne Rodriguez is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Patten, ME. Kimberly Iverne Rodriguez practices in Patten, ME and has the professional credentials of CRMA. The NPI Number for Kimberly Iverne Rodriguez is 1386878346 and holds a License No. (Maine).

The current practice location address for Kimberly Iverne Rodriguez is 52 Gardiner Street, Patten, ME and can be reached out via phone at 207-528-2203.

Location: 52 Gardiner Street, Patten, ME, 04765-0226
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Provider Profile Details
NPI Number
1386878346
Provider Name
Kimberly Iverne Rodriguez
Credential
CRMA
Provider Entity Type
Individual
Gender
Female
Address
52 Gardiner Street, Patten, ME, 04765-0226
Phone Number
207-528-2203
Fax Number
Provider Enumeration Date
05/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202450000 05 ME
institution
Provider Business Practice Location Address Details
Address
52 Gardiner Street
City
State
Zip
04765
Phone Number
207-528-2203
Fax Number
person
Provider Business Mailing Address Details
Address
52 Gardiner Street
City
State
Zip
04765
Phone Number
207-528-2203
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
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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