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Mrs. Nancy Ann Pottle
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Gardiner, Maine
NPI 1881758514

Nancy Ann Pottle is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Gardiner, ME. Nancy Ann Pottle practices in West Gardiner, ME. The NPI Number for Nancy Ann Pottle is 1881758514 and holds a License No. ALLS1974 (Maine).

The current practice location address for Nancy Ann Pottle is 434 Indiana Rd, West Gardiner, ME and can be reached out via phone at 207-582-5096.

Location: 434 Indiana Rd, West Gardiner, ME, 04345-3377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881758514
Provider Name
Nancy Ann Pottle
Credential
Provider Entity Type
Individual
Gender
Female
Address
434 Indiana Rd, West Gardiner, ME, 04345-3377
Phone Number
207-582-5096
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
434 Indiana Rd
City
West Gardiner
State
Maine
Zip
04345-3377
Phone Number
207-582-5096
Fax Number
person
Provider Business Mailing Address Details
Address
434 Indiana Rd
City
West Gardiner
State
Maine
Zip
04345-3377
Phone Number
207-582-5096
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.
ALLS1974 (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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