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Organization
MAINE LIFE CARE RETIREMENT COMMUNITY
Active
Organization
MAINE LIFE CARE RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ASHLEY (MANAGER)
(207) 799-0866
Entity
Organization
Contact information
Practice address
15 PIPER ROAD, SCARBOROUGH, ME 04074-7541
(207) 883-8700
Mailing address
PO BOX 1778, LEWISTON, ME 04241-1778
(207) 375-3024
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/31/2015
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