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Organization
FREEPORT PLACE
Active
Organization
FREEPORT PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOWDEN CEO (CEO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
4 OLD COUNTY RD, FREEPORT, ME 04032-6231
(207) 865-3500
Mailing address
4 OLD COUNTY RD, FREEPORT, ME 04032-6231
(207) 865-3500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2103
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103
—
ME
Enumeration date
03/25/2009
Last updated
03/25/2009
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