| NPI | 1639291131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE D WALP Executive Director 207-879-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |