IndividualActive
Anne Bourque
NPI 1487987558 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · West Gardiner, ME
Provider details
- NPI number
- 1487987558
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Practice location
22 Ledge Hill Way
West Gardiner, ME 04345-3135
Phone: (207) 582-3146
Mailing address
22 Ledge Hill Way
West Gardiner, ME 04345-3135
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2009-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.