Provider Demographics
NPI:1780814814
Name:SKILLS, INC
Entity Type:Organization
Organization Name:SKILLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-938-4615
Mailing Address - Street 1:461 HARTLAND RD
Mailing Address - Street 2:P O BOX 65
Mailing Address - City:SAINT ALBANS
Mailing Address - State:ME
Mailing Address - Zip Code:04971-7436
Mailing Address - Country:US
Mailing Address - Phone:207-938-4615
Mailing Address - Fax:
Practice Address - Street 1:461 HARTLAND RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:ME
Practice Address - Zip Code:04971-7436
Practice Address - Country:US
Practice Address - Phone:207-938-4615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251B00000X, 251C00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103480007Medicaid
ME103480008Medicaid
ME103480000Medicaid
ME103480009Medicaid
ME103480004Medicaid
ME103480003Medicaid