Countryside Adult Family Care Home
Assisted Living Facility in Buxton, ME. Organization (NPI-2).
NPI number1124262845
StatusActive
Last updated in NPPESApr 24, 2009
Details
- NPI
- 1124262845
- Entity type
- Organization (NPI-2)
- Legal business name
- Countryside Adult Family Care Home
- Organization subpart
- No
- Enumeration date
- Apr 24, 2009
- Last updated
- Apr 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | ALLS3163 | ME | Yes |
Practice location
1334 Long Plains RdBuxton, ME 04093-6052
Phone 207-929-5787
Mailing address
1334 Long Plains RdBuxton, ME 04093-6052
Phone 207-929-5787
Authorized official
Nancy Tapec Atienza
Administrator
2079295787
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