| NPI | 1255934162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON RS COLEMAN CEO 207-523-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2024-08-13 |