NPI 1447486808

Siesta Haven

Organisation Adult Care Home Facility Bangor, ME

Practice location

Address: 340 State St, Bangor, ME 04401-5531
Phone: (207) 944-6328
Fax: (207) 942-1204
Mailing address: PO Box 3715, Brewer, ME 04412-3715

Authorised official

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

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALLA 3411 (ME)

Other Custodial Care Facility providers in Maine →

Registry record

NPI: 1447486808
Entity type: Organization
NPI issued: 29 May 2009
Record last updated: 29 May 2009

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.