person
Nichole Lavalley
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Maine
NPI 1821138017

Nichole Lavalley is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Plymouth, ME. Nichole Lavalley practices in Jackson, ME. The NPI Number for Nichole Lavalley is 1821138017 and holds a License No. ALLS 2297 (Maine).

The current practice location address for Nichole Lavalley is 1461 Moosehead Trl, Jackson, ME and can be reached out via phone at 207-907-2631. You can also correspond with Nichole Lavalley through the mailing address at 119 LOWER DETROIT RD, PLYMOUTH, ME - 04969-3213 (mailing address contact number: ).

Location: 1461 Moosehead Trl, Jackson, ME, 04969-3213
person
Provider Profile Details
NPI Number
1821138017
Provider Name
Nichole Lavalley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1461 Moosehead Trl, Jackson, ME, 04969-3213
Phone Number
207-907-2631
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1461 Moosehead Trl
City
State
Zip
04921
Phone Number
207-907-2631
Fax Number
person
Provider Business Mailing Address Details
Address
1461 Moosehead Trl
City
State
Zip
04921
Phone Number
207-907-2631
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
License No.
ALLS 2297 (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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