NPI 1548401474

Old Town Residential Services Corp.

Organisation Assisted Living Facility Old Town, ME

Practice location

Address: 110 Perkins Ave, Old Town, ME 04468-1763
Phone: (207) 827-0547
Fax: (207) 827-2397
Mailing address: PO Box 404, Old Town, ME 04468-0404

Authorised official

Name: Iona M. Crowley
Title: Secretary/Treasurer
Phone: (207) 827-6151

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RCA865 (ME)

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1548401474
Entity type: Organization
NPI issued: 24 Mar 2009
Record last updated: 24 Mar 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.