| NPI | 1205070919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND H BISHOP Owner 207-924-6211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ME ALLS 2748) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |