Northern Maine General
Assisted Living Facility in Eagle Lake, ME. Organization (NPI-2).
NPI number1508166158
StatusActive
Last updated in NPPESOct 29, 2010
Details
- NPI
- 1508166158
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Maine General
- Organization subpart
- No
- Enumeration date
- Oct 29, 2010
- Last updated
- Oct 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
5 Carter StreetEagle Lake, ME 04739-0310
Phone 207-444-5152
Mailing address
Po Box 310Eagle Lake, ME 04739-0310
Phone 207-444-5152 · Fax 207-444-6099
Authorized official
Reynold Raymond
Ceo
2074445152
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