JEFFREY RAYMOND KINNEY

BANGOR, ME
NPI1902933393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Mr. JEFFREY RAYMOND KINNEY
23 FIELDSTONE DRIVE
BANGOR, ME 04401
Phone number: 207-947-3176
Mailing Address
Mr. JEFFREY RAYMOND KINNEY
23 FIELDSTONE DRIVE
BANGOR, ME 04401
Phone number: 207-947-3176