Port Resources

LBN: Port Resources
Port Resources is an health care organization with primary practice located at 280B Gannett Dr , South Portland ME 04106-6940. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Port Resources can be contacted via phone (207) 828-0048, or through Defreest, Robin via phone (207) 828-0048.

Contact Information

Primary practice address
280B Gannett Dr South Portland ME 04106-6940
Phone: (207) 828-0048
Fax: (207) 772-3743
Website:
Map and Directions
Authorized official contact:
Name: Defreest, Robin
Phone: (207) 828-0048

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 388111 Maine

Profile Details

NPI number 1053467779
LBN Legal business name Port Resources
DBA Doing business as
Authorized official Defreest, Robin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 16th, 2014 - about 11 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 1053467779 NPPES
Maine MEDICAID 110580000

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