Individual provider · Type 1 NPI

Debra Raye Kinney

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

NPI number 1801923206 Active

Practice location

23 Fieldstone Drive
Bangor, ME 04401

Fax (207) 945-9924

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

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About NPI 1801923206

Debra Raye Kinney's National Provider Identifier is 1801923206, issued on Feb 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bangor, ME. The record was last updated on Jul 8, 2007.