Whalio Doctors

NPI 1538399530

The Iris Network

Organisation Assisted Living Facility Portland, ME

Practice location

Address
189 Park Ave, Portland, ME 04102-2909
Phone
(207) 774-6273
Fax
(207) 774-0679

Authorised official

Name
Stephen Trabold
Title
Dir of Finance & Admin
Phone
(207) 774-6273

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1538399530
Entity type
Organization
NPI issued
24 Jul 2009
Record last updated
24 Jul 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.