NPI 1366600371

Fallbrook INC

Organisation Alzheimer Center (Dementia Center) Portland, ME

Practice location

Address: 418 Raystreet, Portland, ME 04103
Phone: (207) 878-0788
Fax: (207) 878-7734
Mailing address: 418 Ray Street, Portland, ME 04103

Authorised official

Name: Robert J Feeney
Title: President Administrator
Phone: (207) 878-0788

Registered specialties (2)

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 372595 (ME)

Other Alzheimer Center (Dementia Center) providers in Maine →

Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 372595 (ME)

Other Custodial Care Facility providers in Maine →

Registry record

NPI: 1366600371
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 27 May 2008

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.