NPI 1508100124

Windham Residential Care Facility, INC

Organisation Intellectual Disabilities Intermediate Care Facility Windham, ME

Practice location

Address: 497 River Rd, Windham, ME 04062-4603
Phone: (207) 892-7141
Mailing address: 495 River Rd, Windham, ME 04062-4603

Authorised official

Name: Carol a Rogers
Title: Owner/Administrator
Phone: (207) 892-7141

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Maine →

Registry record

NPI: 1508100124
Entity type: Organization
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 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.