Jeffrey Raymond Kinney in Bangor - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jeffrey Raymond Kinney - NPI 1902933393
Jeffrey Raymond Kinney is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bangor, Maine. Jeffrey Raymond Kinney practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jeffrey Raymond Kinney is 1902933393. The last update date is 2007-07-08.
Jeffrey Raymond Kinney's current location address is 23 Fieldstone Drive, Bangor, Maine. You can contact this provider via phone number 2079473176 and fax number 2079459924. The mailing address for Jeffrey Raymond Kinney is 23 Fieldstone Drive, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Raymond Kinney |
|---|---|
| Address | 23 Fieldstone Drive, Bangor, Maine |
| Phone Number | 2079473176 |
| Fax Number | 2079459924 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902933393 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23 Fieldstone Drive |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 4401 |
| Phone Number | 2079473176 |
| Fax Number | 2079459924 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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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. |
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What is the unique 10-digit identification code assigned to Jeffrey Raymond Kinney by the Centers for Medicare & Medicaid Services?
The Jeffrey Raymond Kinney has been issued the NPI (National Provider Identifier) 1902933393, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey Raymond Kinney's facilities are situated?
The facilities of Jeffrey Raymond Kinney are physically located at the following address: 23 Fieldstone Drive, Bangor, ME, 4401.
What is Jeffrey Raymond Kinney's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Raymond Kinney's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
When was the Jeffrey Raymond Kinney's 1902933393 issued?
The Jeffrey Raymond Kinney's 1902933393 was issued on 2007-02-27.
As of what date were the Jeffrey Raymond Kinney's details last updated?
The information pertaining to the Jeffrey Raymond Kinney, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061793
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