Dawn Ouellette
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eagle Lake, ME
NPI 1184867590 · NPPES record last updated Apr 15, 2009
Key facts
- NPI
- 1184867590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- DAWN OUELLETTE
- Practice address
- 13 South Brook Lane
Eagle Lake, ME 04739 - Phone
- (207) 444-4562
- Fax
- (207) 444-4069
- NPI assigned
- Apr 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Dawn M Ouellette
- Title
- Home Provider
- Phone
- (207) 444-4562
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
13 South Brook Lane
Eagle Lake, ME 04739
Mailing address
13 South Brook Lane
Eagle Lake, ME 04739
Phone (207) 444-4562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202220000 | Medicaid | ME |
Other providers in Eagle Lake, ME
- Jennifer Albert
- Danielle Lee Caron
- Sharon M. Chasse
- Joyia Elizabeth Cyr
- April Jean Damboise
- Daren Dionne
- Mackenzie Dubay
- Edgewell
- Fish River Rural Health
- Fish River Rural Health
All providers in Eagle Lake, 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 Apr 15, 2009. 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.