Provider Demographics
NPI:1427382423
Name:DARLENE FINNEMORE
Entity Type:Organization
Organization Name:DARLENE FINNEMORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINNEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-769-1611
Mailing Address - Street 1:76 PULSIFUR ROAD
Mailing Address - Street 2:PO BOX 239
Mailing Address - City:MAPLETON
Mailing Address - State:ME
Mailing Address - Zip Code:04757
Mailing Address - Country:US
Mailing Address - Phone:207-769-1611
Mailing Address - Fax:
Practice Address - Street 1:76 PULSIFUR ROAD
Practice Address - Street 2:BOX 239
Practice Address - City:MAPLETON
Practice Address - State:ME
Practice Address - Zip Code:04757
Practice Address - Country:US
Practice Address - Phone:207-769-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities