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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.

Location: 30 Kimberly Drive, Rockport, ME, 04856-0404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Rockport
State
Maine
Zip
04856-0404
Phone Number
207-596-7495
Fax Number
207-596-7495
person
Provider Business Mailing Address Details
Address
30 Kimberly Drive
City
Rockport
State
Maine
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
320900000X
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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