NPI 1417267535

Siesta Haven II

Organisation Adult Care Home Facility Bangor, ME

Practice location

Address: 33 James St, Bangor, ME 04401-4634
Phone: (207) 944-6328
Mailing address: PO Box 3715, Brewer, ME 04412-3715

Authorised official

Name: Wendy Lainez
Title: Owner/Administrator
Phone: (207) 944-6328

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALLS 4085 (ME)

Other Custodial Care Facility providers in Maine →

Registry record

NPI: 1417267535
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 2010

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.