NPI 1477881951

Fallbrook Residential Care Facility, INC.

Organisation Assisted Living Facility Portland, ME

Practice location

Address: 418 Ray St, Portland, ME 04103-3934
Phone: (207) 878-0788
Mailing address: 179 Lisbon St Centerville Plaza Building 2nd Floor, Lewiston, ME 04240-7248

Authorised official

Name: Glen G Cyr
Title: Vp Finance
Phone: (207) 786-3554

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1477881951
Entity type: Organization
NPI issued: 23 Nov 2009
Record last updated: 23 Nov 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.