Provider Demographics
NPI:1417191560
Name:CHRISTINE LAPOINTE
Entity Type:Organization
Organization Name:CHRISTINE LAPOINTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-868-3354
Mailing Address - Street 1:110 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:ME
Mailing Address - Zip Code:04785-1153
Mailing Address - Country:US
Mailing Address - Phone:207-868-3354
Mailing Address - Fax:
Practice Address - Street 1:110 POPLAR ST
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:ME
Practice Address - Zip Code:04785-1153
Practice Address - Country:US
Practice Address - Phone:207-868-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS936320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME201590000Medicaid