Island Commons Resource Center
Assisted Living Facility in Chebeague Island, ME. Organization (NPI-2).
NPI number1497989412
StatusActive
Last updated in NPPESMay 5, 2009
Details
- NPI
- 1497989412
- Entity type
- Organization (NPI-2)
- Legal business name
- Island Commons Resource Center
- Organization subpart
- No
- Enumeration date
- May 5, 2009
- Last updated
- May 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | ALLS3138 | ME | Yes |
Practice location
132 Littlefield RdChebeague Island, ME 04017-3316
Phone 207-846-4456 · Fax 207-846-9706
Mailing address
132 Littlefield RdChebeague Island, ME 04017-3316
Phone 207-846-4456 · Fax 207-846-9706
Authorized official
Beth Ross Wiles
Administrator
2078465610
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