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Mr. William Raymond Witham SR.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sidney, Maine
NPI 1588803688

William Raymond Witham SR. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sidney, ME. William Raymond Witham SR. practices in Sidney, ME. The NPI Number for William Raymond Witham SR. is 1588803688 and holds a License No. ALLS 3033 (Maine).

The current practice location address for William Raymond Witham SR. is 198 Shepherd Rd, Sidney, ME and can be reached out via phone at 207-547-3425 and via fax at 207-547-3129.

Location: 198 Shepherd Rd, Sidney, ME, 04330-2332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588803688
Provider Name
William Raymond Witham SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
198 Shepherd Rd, Sidney, ME, 04330-2332
Phone Number
207-547-3425
Fax Number
207-547-3129
Provider Enumeration Date
02/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128430000 05 ME
institution
Provider Business Practice Location Address Details
Address
198 Shepherd Rd
City
Sidney
State
Maine
Zip
04330-2332
Phone Number
207-547-3425
Fax Number
207-547-3129
person
Provider Business Mailing Address Details
Address
198 Shepherd Rd
City
Sidney
State
Maine
Zip
04330-2332
Phone Number
207-547-3425
Fax Number
207-547-3129
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.
ALLS 3033 (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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