Individual provider · Type 1 NPI
Shannon Hogan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · New Limerick, ME
Practice location
39 Salmon Lane
New Limerick, ME 04761
Mailing address
PO Box 14
New Limerick, ME 04761-0014
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 1184520702
Shannon Hogan's National Provider Identifier is 1184520702, issued on Oct 19, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in New Limerick, ME. The record was last updated on Oct 19, 2026.