Maine Resource Development Corp

LBN: Maine Resource Development Corp
Maine Resource Development Corp is an health care organization with primary practice located at 18 Lincoln St , Portland ME 04103-4408. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Maine Resource Development Corp can be contacted via phone (207) 774-2552, or through Keene, Jerry Bruce via phone (207) 774-2552.

Contact Information

Primary practice address
18 Lincoln St Portland ME 04103-4408
Phone: (207) 774-2552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keene, Jerry Bruce
Phone: (207) 774-2552

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS3219 Maine
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X ALLS3219 Maine

Profile Details

NPI number 1770722902
LBN Legal business name Maine Resource Development Corp
DBA Doing business as
Authorized official Keene, Jerry Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2009
Last updated Feb 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770722902 NPPES
Maine MEDICAID 109270000

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