NPI 1528201738

Seventy Five State Street

Organisation Assisted Living Facility Portland, ME

Practice location

Address: 75 State St, Portland, ME 04101-3746
Phone: (207) 772-2675
Fax: (207) 772-2896

Authorised official

Name: Anthony Forgione
Title: President/Ceo
Phone: (207) 772-2675

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ALLS2085 (ME)

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1528201738
Entity type: Organization
NPI issued: 17 Apr 2009
Record last updated: 1 Oct 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.