Andrea Beth Pelkey, CRMA, DSP, CPR
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chester, ME. Individual provider (NPI-1).
NPI number1407448657
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1407448657
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrea Beth Pelkey
- Credential
- CRMA, DSP, CPR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
55 Pelkey RdChester, ME 04457-5700
Phone 207-403-0330
Mailing address
55 Pelkey RdChester, ME 04457-5700
Phone 207-403-0330
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