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Laurel Rouillard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pittston, Maine
NPI 1477787125

Laurel Rouillard is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pittston, ME. Laurel Rouillard practices in Pittston, ME. The NPI Number for Laurel Rouillard is 1477787125 and holds a License No. 205660000 (Maine).

The current practice location address for Laurel Rouillard is 213 Hunts Meadow Rd, Pittston, ME and can be reached out via phone at 207-582-7997.

Location: 213 Hunts Meadow Rd, Pittston, ME, 04345-5942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477787125
Provider Name
Laurel Rouillard
Credential
Provider Entity Type
Organization
Address
213 Hunts Meadow Rd, Pittston, ME, 04345-5942
Phone Number
207-582-7997
Fax Number
Provider Enumeration Date
05/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205660000 01 ME MAINE CARE
institution
Provider Business Practice Location Address Details
Address
213 Hunts Meadow Rd
City
Pittston
State
Maine
Zip
04345-5942
Phone Number
207-582-7997
Fax Number
person
Provider Business Mailing Address Details
Address
213 Hunts Meadow Rd
City
Pittston
State
Maine
Zip
04345-5942
Phone Number
207-582-7997
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.
205660000 (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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