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Organization
BROCK HALLDALE LLC
Active
Organization
BROCK HALLDALE LLC
Active
Other names
HALLDALE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WESBROCK (CHIEF EXECUTIVE OFFICER)
(207) 691-5059
Entity
Organization
Contact information
Practice address
647 MAINE AVE, FARMINGDALE, ME 04344-1526
(207) 622-7082
Mailing address
647 MAINE AVE, FARMINGDALE, ME 04344-1526
(207) 622-7082
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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