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Organization

GOLDEN YEARS ADULT DAY CARE

Active
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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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