| NPI | 1487105755 |
|---|---|
| Doing Business As | COUNTRY VILLAGE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DAVID B. ST ONGE CEO 207-627-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |