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Organization
WINDHAM RESIDENTIAL CARE FACILITY
Active
Organization
WINDHAM RESIDENTIAL CARE FACILITY
Active
Other names
carols residential care facility
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN ROGERS (OWNER ADMINISTRATOR)
(207) 892-7141
Entity
Organization
Contact information
Practice address
478 RIVER RD, WINDHAM, ME 04062-4605
(207) 892-7141
(207) 892-6131
Mailing address
495 RIVER RD, WINDHAM, ME 04062-4603
(207) 892-7141
(207) 892-6131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154870100
PROVIDER
ME
Enumeration date
03/16/2007
Last updated
04/21/2009
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