| NPI | 1043029192 |
|---|---|
| Doing Business As | TISSUES ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | KELLY WESBROCK Chief Executive Officer 207-691-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |