NPI | 1386870533 |
---|---|
Doing Business As | FORTY SEVEN WOOD STREET |
Entity Type | Organization |
Authorized Contact | HAROLD STROUT Administrator 207-784-6995 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ME ALLS 2826) |
Enumeration Date | 2009-06-02 |
Last Update Date | 2024-10-21 |