Individual provider · Type 1 NPI
Linda Gale Drake
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cornville, ME
Practice location
1309 E Ridge Rd
Cornville, ME 04976-6509
Fax (207) 474-0779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | ALLS 2805 (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.
About NPI 1104069384
Linda Gale Drake's National Provider Identifier is 1104069384, issued on Apr 17, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Cornville, ME. The record was last updated on Apr 17, 2009.