NPI 1497020150

Maine Avenue Corp., INC.

Organisation Assisted Living Facility Farmingdale, ME

Practice location

Address: 270 Maine Ave, Farmingdale, ME 04344-4514
Phone: (207) 582-6674
Fax: (207) 582-3845

Authorised official

Name: David M. Kingsley
Title: Administrator
Phone: (207) 582-6674

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 264 (ME)

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1497020150
Entity type: Organization
NPI issued: 14 Mar 2012
Record last updated: 14 Mar 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.