Organization · Type 2 NPI

Port Resources

Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Portland, ME

NPI number 1053467779 Active

Practice location

280B Gannett Dr
South Portland, ME 04106-6940

Fax (207) 772-3743

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X388111 (ME)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1053467779

Port Resources's National Provider Identifier is 1053467779, issued on Jan 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in South Portland, ME. The record was last updated on Jul 16, 2014.