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KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC

Assisted Living, Mental Illness

Manchester, Maine

Provider NPI: 1629192794

Organization Information:
Organization Name:  KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC


Practice Location:
747 WESTERN AVE SUITE 3 MANCHESTER, ME 04351 US
Tel: 207-622-1404  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
ME208541

Other Provider Identifiers:

IssuerNumberStateType
123430003ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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