Organization · Type 2 NPI
ST Jude's Foster Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Von Buren, ME
Practice location
123 Wright Street
Von Buren, ME 04785
Fax (207) 868-7781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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 1114168945
ST Jude's Foster Home's National Provider Identifier is 1114168945, issued on Mar 6, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Von Buren, ME. The record was last updated on Mar 6, 2009.