Earl M Nickerson in Belfast - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Earl M Nickerson - NPI 1144359910
Earl M Nickerson is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Belfast, Maine. Earl M Nickerson practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Earl M Nickerson is 1144359910. The last update date is 2007-07-08.
Earl M Nickerson's current location address is 9 Doak Rd, Belfast, Maine. You can contact this provider via phone number 2073383605 and fax number 2073380589. The mailing address for Earl M Nickerson is 9 Doak Rd, Belfast, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl M Nickerson |
|---|---|
| Address | 9 Doak Rd, Belfast, Maine |
| Phone Number | 2073383605 |
| Fax Number | 2073380589 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144359910 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Doak Rd |
|---|---|
| City | Belfast |
| State | Maine (ME) |
| Post Code | 4915 |
| Phone Number | 2073383605 |
| Fax Number | 2073380589 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | ALLSL916 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Earl M Nickerson by the Centers for Medicare & Medicaid Services (CMS)?
The Earl M Nickerson has been assigned the NPI (National Provider Identifier) 1144359910. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Earl M Nickerson?
The Earl M Nickerson is physically situated at 9 Doak Rd, in the city of Belfast, state of ME, with the postal code 4915.
What is the Earl M Nickerson's area of specialization and corresponding taxonomy classification?
The Earl M Nickerson's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Earl M Nickerson receive its 1144359910 assignment from the Centers for Medicare & Medicaid Services?
The Earl M Nickerson was assigned its 1144359910 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information regarding Earl M Nickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Earl M Nickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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