Rae Ellen Snow
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charleston, ME
NPI 1003962150 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003962150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- ALLS 1363 (ME)
- Practice address
- 21 Bacon Rd
Charleston, ME 04422-3212 - Phone
- (207) 285-3842
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALLS 1363 | ME | MD | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | ALLS 1363 | ME | Yes |
Addresses
Primary practice location
21 Bacon Rd
Charleston, ME 04422-3212
Mailing address
21 Bacon Rd
Charleston, ME 04422-3212
Phone (207) 285-3842
Other providers in Charleston, ME
- Samuel Chabot
- Carol Gulliver Hilton
- Marjorie H Kasten
- David B. Needham
- Erin Siobhan O'Kane
- April Thibodeau
All providers in Charleston, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.