Individual provider · Type 1 NPI
Rae Ellen Snow
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charleston, ME
Practice location
21 Bacon Rd
Charleston, ME 04422-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | ALLS 1363 (ME) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1003962150
Rae Ellen Snow's National Provider Identifier is 1003962150, issued on Jan 25, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Charleston, ME. The record was last updated on Jul 9, 2007.