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Organization
ROUSSEAU ENTERPRISES, INC.
Active
Organization
ROUSSEAU ENTERPRISES, INC.
Active
Other names
Montello Commons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BOWDEN (CEO)
(207) 725-4071
Entity
Organization
Contact information
Practice address
540 COLLEGE ST, LEWISTON, ME 04240-5228
(207) 783-2039
(207) 782-0184
Mailing address
540 COLLEGE ST, LEWISTON, ME 04240-5228
(207) 783-2039
(207) 782-0184
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1983
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111890003
—
ME
Enumeration date
07/03/2006
Last updated
07/22/2015
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