institution
Bradley D. Lanphere
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rockport, Maine
NPI 1679711493

Bradley D. Lanphere is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rockport, ME. Bradley D. Lanphere practices in Rockport, ME. The NPI Number for Bradley D. Lanphere is 1679711493 and holds a License No. (Maine).

The current practice location address for Bradley D. Lanphere is 30 Kimberly Drive, Rockport, ME and can be reached out via phone at 207-596-7495 and via fax at 207-596-7495. You can also correspond with Bradley D. Lanphere through the mailing address at PO BOX 404, ROCKPORT, ME - 04856-0404 (mailing address contact number: 207-596-7495).

Location: 30 Kimberly Drive, Rockport, ME, 04856-0404
institution
Provider Profile Details
NPI Number
1679711493
Provider Name
Bradley D. Lanphere
Credential
Provider Entity Type
Organization
Address
30 Kimberly Drive, Rockport, ME, 04856-0404
Phone Number
207-596-7495
Fax Number
207-596-7495
Provider Enumeration Date
02/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Kimberly Drive
City
State
Zip
04856-0404
Phone Number
207-596-7495
Fax Number
207-596-7495
person
Provider Business Mailing Address Details
Address
30 Kimberly Drive
City
State
Zip
04856-0404
Phone Number
207-596-7495
Fax Number
207-596-7495
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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