| NPI | 1760626246 |
|---|---|
| Doing Business As | NORTHERN BAY RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TYLER Receiver 207-854-2973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ME 2335) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2010-08-03 |