Organization
MANOR AT PHILLIPSTOWN PLACE INC
Active
Parent organization
MANOR AT PHILLIPSTOWN
Other names
Mayflower Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANOR AT PHILLIPSTOWN
Authorized official
MR. RON BRYANT (CHIEF FINANCIAL OFFICER)
(207) 490-7327
Entity
Organization
Contact information
Practice address
27 MAYFLOWER ST, SANFORD, ME 04073-3645
(207) 490-0400
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS 3199
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124600001
—
ME
Enumeration date
04/28/2009
Last updated
04/28/2009
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