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Mrs. Mary Lynn Douyard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Limington, Maine
NPI 1700195831

Mary Lynn Douyard is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in East Baldwin, ME. Mary Lynn Douyard practices in Limington, ME. The NPI Number for Mary Lynn Douyard is 1700195831 and holds a License No. (Maine).

The current practice location address for Mary Lynn Douyard is 378 Pequawket Lake Rd., Limington, ME and can be reached out via phone at 207-637-3546.

Location: 378 Pequawket Lake Rd., Limington, ME, 04024-0108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700195831
Provider Name
Mary Lynn Douyard
Credential
Provider Entity Type
Individual
Gender
Female
Address
378 Pequawket Lake Rd., Limington, ME, 04024-0108
Phone Number
207-637-3546
Fax Number
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212930000 01 ME MAINE CARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
378 Pequawket Lake Rd.
City
Limington
State
Maine
Zip
04049
Phone Number
207-637-3546
Fax Number
person
Provider Business Mailing Address Details
Address
378 Pequawket Lake Rd.
City
Limington
State
Maine
Zip
04049
Phone Number
207-637-3546
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.
()
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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