Provider Demographics
NPI:1427358647
Name:TRUSTEES OF FOXCROFT ACADEMY
Entity Type:Organization
Organization Name:TRUSTEES OF FOXCROFT ACADEMY
Other - Org Name:FOXCROFT ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAINIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-564-8351
Mailing Address - Street 1:975 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426-1067
Mailing Address - Country:US
Mailing Address - Phone:207-564-8351
Mailing Address - Fax:207-564-8394
Practice Address - Street 1:975 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-1067
Practice Address - Country:US
Practice Address - Phone:207-564-8351
Practice Address - Fax:207-564-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER025070163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty