Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
DAVIS LONG TERM CARE GROUP INC
Active
Organization
DAVIS LONG TERM CARE GROUP INC
Active
Other names
Tissues Country Estate
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A CLOUTIER (PRESIDENT)
(207) 594-4990
Entity
Organization
Contact information
Practice address
212 FOX HILL RD, ATHENS, ME 04912-4719
(207) 654-2713
(207) 654-2170
Mailing address
18 TALBOT AVE, ROCKLAND, ME 04841-2862
(207) 594-4990
(207) 594-4974
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
121610000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
METPID002103
—
ME
Enumeration date
03/03/2006
Last updated
09/27/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up