NPI 1477797181

Fairmount Boarding Home

Organisation Custodial Care Facility Bangor, ME

Practice location

Address: 8 13th St, Bangor, ME 04401-4538
Phone: (207) 942-5816
Fax: (207) 942-2701

Authorised official

Name: Raymond H Bishop
Title: Owner
Phone: (207) 924-6211

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence ALLS 3363 (ME)

Other Custodial Care Facility providers in Maine →

Registry record

NPI: 1477797181
Entity type: Organization
NPI issued: 24 Apr 2009
Record last updated: 27 Apr 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.