# SOUTHERN HARBOR ELDERCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN HARBOR ELDERCARE SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750873592
- **Legal business name:** SOUTHERN HARBOR ELDERCARE SERVICES
- **Authorized official:** MRS. KATHI LOVELL (PRESIDENT)
- **Authorized official phone:** (207) 867-4633

## Contact information

- **Practice address:** 12 PULPIT HARBOR ROAD, NORTH HAVEN, ME 04853
- **Practice address phone:** (207) 867-2345
- **Practice address fax:** (207) 863-5027
- **Mailing address:** PO BOX 220, NORTH HAVEN, ME 04853
- **Mailing address phone:** (207) 867-2345
- **Mailing address fax:** (207) 863-5027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | ME | — |
| 311ZA0620X | Adult Care Home Facility | — | ME | Yes |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 06/06/2018