| NPI | 1699387522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE ALICIA MCCOURT ALBERT Owner, Residential Care Admin 207-523-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |