Individual provider · Type 1 NPI

Shannon Hogan

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

NPI number 1184520702 Active

Practice location

39 Salmon Lane
New Limerick, ME 04761

Mailing address

PO Box 14
New Limerick, ME 04761-0014

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.

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.