Organization
GOLDEN YEARS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE ANN PETTENGILL CRMA,MA,CNA-M (ADMINISTRATOR)
(207) 730-0968
Entity
Organization
Contact information
Practice address
24 HOYT ST, SPRINGVALE, ME 04083-1710
(207) 850-4793
(207) 850-1184
Mailing address
24 HOYT ST, SPRINGVALE, ME 04083-1710
(207) 850-4793
(207) 850-1184
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADS38641
ME
Other
Enumeration date
12/07/2016
Last updated
12/21/2023
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