Provider Demographics
NPI:1023238268
Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT NO. 46
Entity type:Organization
Organization Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT NO. 46
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-924-5262
Mailing Address - Street 1:10 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:ME
Mailing Address - Zip Code:04930-1313
Mailing Address - Country:US
Mailing Address - Phone:207-924-5262
Mailing Address - Fax:207-924-7660
Practice Address - Street 1:7 MAIN ST
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:ME
Practice Address - Zip Code:04930-1374
Practice Address - Country:US
Practice Address - Phone:207-924-7669
Practice Address - Fax:207-924-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services