NPI 1033105846

Village Square Housing Corporation

Organisation Assisted Living Facility Gorham, ME

Practice location

Address: 123 School St, Gorham, ME 04038-1084
Phone: (207) 839-5101
Fax: (207) 839-6008

Authorised official

Name: Paul H Schreiber
Title: Administrator
Phone: (207) 839-5101

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ALLS1510 (ME)

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1033105846
Entity type: Organization
NPI issued: 27 Sep 2005
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.