Organization
FAMILY ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE JOHNSON (OWNER/ADMINISTRATOR)
(207) 460-9303
Entity
Organization
Contact information
Practice address
532 UNION ST, BANGOR, ME 04401-3751
(207) 907-4450
(888) 460-3866
Mailing address
510 LAGRANGE RD, BRADFORD, ME 04410-3226
(207) 460-9303
(888) 460-3866
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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