OrganizationActive
Community Living Association
NPI 1144274564 · Nursing Care Agency · Houlton, ME
Provider details
- NPI number
- 1144274564
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shannon Hogan, Finance Manager(207) 532-9446
- License
- 36310 (ME)
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 36310 (ME)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense ALLS2160 (ME)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense ALLS2161 (ME)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense ALLS1110 (ME)
Residential Treatment Facilities
Practice location
45 School St
Houlton, ME 04730-2010
Phone: (207) 532-9446
Fax: (207) 532-1359
Approximate (ZIP-level) locationGet directions
Mailing address
45 School St
Houlton, ME 04730-2010
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.