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Organization
FREDERICK'S COUNTRY LIVING RESIDENTIAL HOME
Active
Organization
FREDERICK'S COUNTRY LIVING RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE LESLIE FREDERICK (CARE GIVER)
(207) 399-3486
Entity
Organization
Contact information
Practice address
50 PALMER RD, SKOWHEGAN, ME 04976-4950
(207) 399-3486
Mailing address
50 PALMER RD, SKOWHEGAN, ME 04976-4950
(207) 399-3486
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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