# DAVIS LONG TERM CARE GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crawford Commons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649247081
- **Authorized official:** CHAD A CLOUTIER (PRESIDENT)
- **Authorized official phone:** (207) 594-4990

## Contact information

- **Practice address:** 132 MIDDLE RD, UNION, ME 04862-4018
- **Practice address phone:** (207) 785-4419
- **Practice address fax:** (207) 785-4410
- **Mailing address:** 18 TALBOT AVE, ROCKLAND, ME 04841
- **Mailing address phone:** (207) 594-4990
- **Mailing address fax:** (207) 594-4974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 111220000 | ME | — |
| 310400000X | Assisted Living Facility | PND974 | ME | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 08/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | METPID002102 | — | ME |