| NPI | 1902090285 |
|---|---|
| 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 | 311Z00000X Custodial Care Facility |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: ME 36670) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-04-20 |