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Organization
MAINEHEALTH
Active
Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Safe Havens at St. Andrews Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
WAYNE PRINTY (CFO)
(207) 563-4476
Entity
Organization
Contact information
Practice address
145 EMERY LANE, BOOTHBAY HARBOR, ME 04538
(207) 633-0920
(207) 633-1211
Mailing address
145 EMERY LANE, BOOTHBAY HARBOR, ME 04538
(207) 633-0920
(207) 633-1211
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
2019
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101560401
—
ME
Enumeration date
10/06/2006
Last updated
09/08/2020
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