NPI 1023171022

Home for the Aged

Organisation Assisted Living Facility Portland, ME

Practice location

Address: 777 Stevens Avenue, Portland, ME 04103
Phone: (207) 797-7710
Fax: (207) 797-2558

Authorised official

Name: Denise M Vachon
Title: Executive Director
Phone: (207) 797-7710

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1023171022
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.