| NPI | 1386913143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LESLIE FREDERICK Care Giver 207-399-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |