Port Resources in South Portland - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Port Resources - NPI 1053467779
Port Resources is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in South Portland, Maine. Port Resources practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Port Resources is 1053467779. The last update date is 2014-07-16.
Port Resources's current location address is 280b Gannett Dr, South Portland, Maine. You can contact this provider via phone number 2078280048 and fax number 2077723743. The mailing address for Port Resources is 280b Gannett Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Resources |
|---|---|
| Address | 280b Gannett Dr, South Portland, Maine |
| Phone Number | 2078280048 |
| Fax Number | 2077723743 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Defreest Robin |
| Telephone Number | 2078280048 |
NPI Number Detail
| NPI Number | 1053467779 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2014-07-16 |
Provider Mailing Address Detail
| Address | 280b Gannett Dr |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41066940 |
| Phone Number | 2078280048 |
| Fax Number | 2077723743 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 388111 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110580000 | ME | -- |
Post Comment/ Review Below
What is the Port Resources's unique identification number?
The Port Resources has been assigned the NPI (National Provider Identifier) Number 1053467779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Port Resources's facilities are geographically located?
The facilities of Port Resources are physically situated at the following location: 280B Gannett Dr, South Portland, ME, 41066940.
What is the Port Resources's specialty and taxonomy code?
The Port Resources's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053467779 to Port Resources?
The Port Resources received its 1053467779 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information regarding Port Resources, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Port Resources, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-16.