Nichole Lavalley in Jackson - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nichole Lavalley - NPI 1821138017
Nichole Lavalley is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jackson, Maine. Nichole Lavalley practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Nichole Lavalley is 1821138017. The last update date is 2019-10-30.
Nichole Lavalley's current location address is 1461 Moosehead Trl, Jackson, Maine. You can contact this provider via phone number 2079072631. The mailing address for Nichole Lavalley is 1461 Moosehead Trl, Jackson, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichole Lavalley |
|---|---|
| Address | 1461 Moosehead Trl, Jackson, Maine |
| Phone Number | 2079072631 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821138017 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2019-10-30 |
Provider Mailing Address Detail
| Address | 1461 Moosehead Trl |
|---|---|
| City | Jackson |
| State | Maine (ME) |
| Post Code | 4921 |
| Phone Number | 2079072631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | ALLS 2297 |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Nichole Lavalley?
The Nichole Lavalley has been issued the NPI (National Provider Identifier) 1821138017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Nichole Lavalley is geographically located?
The Nichole Lavalley is physically situated at the following location: 1461 Moosehead Trl, Jackson, ME, 4921.
What is Nichole Lavalley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nichole Lavalley is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
When did the Nichole Lavalley receive its 1821138017?
The Nichole Lavalley was issued its 1821138017 on 2007-02-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Nichole Lavalley last refreshed?
The information related to the Nichole Lavalley, including its address, specialty, and other relevant details, was last updated on 2019-10-30.
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