| NPI | 1477886711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STEPANEC Owner 207-794-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: ME alls3642) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |