# MAINE LIFE CARE RETIREMENT COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083008098
- **Authorized official:** RICHARD ASHLEY (MANAGER)
- **Authorized official phone:** (207) 799-0866

## Contact information

- **Practice address:** 15 PIPER ROAD, SCARBOROUGH, ME 04074-7541
- **Practice address phone:** (207) 883-8700
- **Mailing address:** PO BOX 1778, LEWISTON, ME 04241-1778
- **Mailing address phone:** (207) 375-3024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 03/31/2015