| NPI | 1427121243 |
|---|---|
| Doing Business As | HOME BASED WAIVER |
| Entity Type | Organization |
| Authorized Contact | MARGARET LONGSWORTH Interim President & C.E.O. 207-951-3562 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-08-21 |