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OPPORTUNITY FARM FOR BOYS & GIRLS

Other Service Providers Lodging

Provider NPI: 1922218593

Organization Information:
Organization Name:  OPPORTUNITY FARM FOR BOYS & GIRLS
Organization is not Subpart
Authorized Official:  RONALD J. SCOTT  PRESIDENT  207-926-4532

Practice Location:
215 GLOUCESTER HILL ROAD  NEW GLOUCESTER, ME 04260 US
Tel: 207-926-4532  Fax: 207-926-4529

Business Mailing Address:
PO BOX 65  NEW GLOUCESTER, ME 04260-0065 US
Tel: 207-926-4532  Fax: 207-926-4529

NPI Information:
NPI: 1922218593
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y177F00000XOther Service Providers
Lodging
ME484744

Other Provider Identifiers:

IssuerNumberStateType
102190000ME05



American Medical Association 2012 taxonomy code information

Code: 177F00000X

Type:

Classification:



Definition:



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