Individual provider · Type 1 NPI

Marsha A. Moore

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bangor, ME

NPI number 1073651691 Active

Practice location

114 Somerset St
Bangor, ME 04401-5326

Specialties and licenses

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.

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About NPI 1073651691

Marsha A. Moore's National Provider Identifier is 1073651691, issued on Feb 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bangor, ME. The record was last updated on Jul 9, 2007.