| NPI | 1659501534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A. CLARK Owner/Administrator 207-454-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: ME ALLS3154) |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2009-07-25 |