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Mr. Gary W Crowe, ADMINISTRATOR
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Augusta, Maine
NPI 1417188368

Gary W Crowe is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Augusta, ME. Gary W Crowe practices in Augusta, ME and has the professional credentials of ADMINISTRATOR. The NPI Number for Gary W Crowe is 1417188368 and holds a License No. ALLS2661 (Maine).

The current practice location address for Gary W Crowe is 604 Leighton Rd, Augusta, ME and can be reached out via phone at 207-623-5355.

Location: 604 Leighton Rd, Augusta, ME, 04330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417188368
Provider Name
Gary W Crowe
Credential
ADMINISTRATOR
Provider Entity Type
Individual
Gender
Male
Address
604 Leighton Rd, Augusta, ME, 04330
Phone Number
207-623-5355
Fax Number
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131330000 05 ME
institution
Provider Business Practice Location Address Details
Address
604 Leighton Rd
City
Augusta
State
Maine
Zip
04330
Phone Number
207-623-5355
Fax Number
person
Provider Business Mailing Address Details
Address
604 Leighton Rd
City
Augusta
State
Maine
Zip
04330
Phone Number
207-623-5355
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
ALLS2661 (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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