NPI 1497002943

Charlotte White Center

Organisation Custodial Care Facility Dexter, ME

Practice location

Address: 487 Garland Rd, Dexter, ME 04930-2652
Phone: (207) 564-2464
Fax: (207) 564-2404
Mailing address: 572 Bangor Rd, Dover Foxcroft, ME 04426-3373

Authorised official

Name: Richard M Brown
Title: Ceo
Phone: (207) 564-2464

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence ALLS 4884 (ME)

Other Custodial Care Facility providers in Maine →

Registry record

NPI: 1497002943
Entity type: Organization
NPI issued: 14 Aug 2012
Record last updated: 14 Aug 2012

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.