NPI 1710164611

Coastal Shores, INC.

Organisation Assisted Living Facility Brunswick, ME

Practice location

Address: 142 Neptune Drive, Brunswick, ME 04011
Phone: (207) 725-5801
Fax: (207) 725-1404
Mailing address: 11 Bank St, Brunswick, ME 04011-1501

Authorised official

Name: Mitchell a Rousseau
Title: President
Phone: (207) 725-4071

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence ALLS2967 (ME)

Other Assisted Living Facility providers in Maine →

Registry record

NPI: 1710164611
Entity type: Organization
NPI issued: 23 Jan 2008
Record last updated: 7 Oct 2015

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.