Marsha A. Moore in Bangor - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Marsha A. Moore - NPI 1073651691

Marsha A. Moore is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bangor, Maine. Marsha A. Moore practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Marsha A. Moore is 1073651691. The last update date is 2007-07-09.

Marsha A. Moore's current location address is 114 Somerset St, Bangor, Maine. You can contact this provider via phone number 2079456183. The mailing address for Marsha A. Moore is 114 Somerset St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Marsha A. Moore
Address 114 Somerset St, Bangor, Maine
Phone Number 2079456183
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1073651691
Provider Enumeration Date 2007-02-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 114 Somerset St
City Bangor
State Maine (ME)
Post Code 44015326
Phone Number 2079456183
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
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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FAQs about Marsha A. Moore

What is the unique 10-digit identification code assigned to Marsha A. Moore by the Centers for Medicare & Medicaid Services?

The Marsha A. Moore has been issued the NPI (National Provider Identifier) 1073651691, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Marsha A. Moore is physically located?

The Marsha A. Moore is physically situated at the following address: 114 Somerset St, Bangor, ME, 44015326.

What is Marsha A. Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marsha A. Moore is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073651691 to Marsha A. Moore?

The Centers for Medicare & Medicaid Services assigned the 1073651691 to Marsha A. Moore on 2007-02-03.

When was the information regarding Marsha A. Moore most recently updated?

The details pertaining to the Marsha A. Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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