Provider Demographics
NPI:1649412602
Name:WORK FIRST, INC.
Entity Type:Organization
Organization Name:WORK FIRST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARUE-KENISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-778-3200
Mailing Address - Street 1:309 WILTON ROAD
Mailing Address - Street 2:PO BOX 86
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938
Mailing Address - Country:US
Mailing Address - Phone:207-778-3200
Mailing Address - Fax:207-778-4632
Practice Address - Street 1:309 WILTON ROAD
Practice Address - Street 2:309 WILTON ROAD
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938
Practice Address - Country:US
Practice Address - Phone:207-778-3200
Practice Address - Fax:207-778-4632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME110850200OtherMAINECARE
ME110850201OtherMAINECARE
ME110850000OtherMAINECARE