Bonnie Ablamsky Fontaine

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cherryfield, ME

NPI 1962554469 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962554469
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Practice address
83 Main Street
Cherryfield, ME 04622-4204
Phone
(207) 546-7652
NPI assigned
Jan 17, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

83 Main Street
Cherryfield, ME 04622-4204

Mailing address

PO Box 268
Cherryfield, ME 04622-0268
Phone (207) 546-7652

Other providers in Cherryfield, ME

All providers in Cherryfield, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

Sources for this page

Verify at the official NPI Registry.