NPI 1124771522
Family Enterprises
Practice location
- Address
- 532 Union St, Bangor, ME 04401-3751
- Phone
- (207) 907-4450
- Fax
- (888) 460-3866
- Mailing address
- 510 Lagrange Rd, Bradford, ME 04410-3226
Authorised official
- Name
- Irene Johnson
- Title
- Owner/Administrator
- Phone
- (207) 460-9303
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1124771522
- Entity type
- Organization
- NPI issued
- 27 Jan 2022
- Record last updated
- 27 Jan 2022
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.