Nichole Lavalley

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1821138017

Nichole Lavalley is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Maine. Practices as a sole proprietor and works from 2 locations. Licensed in Maine.

Licensed in: ME
In the registry since: 2007

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1461 Moosehead Trl
Jackson, ME 04921
Phone: (207) 907-2631

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

119 Lower Detroit Rd, Plymouth, ME 04969-3213 — (207) 257-2131

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence ALLS 2297 (ME)

Record details

NPI number	1821138017
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	February 7, 2007
Last updated in NPPES	October 30, 2019
Mailing address	119 Lower Detroit Rd, Plymouth, ME 04969-3213