Organization
RUMFORD COMMUNITY HOME CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN CYR (SR VP OF FINANCE)
(207) 786-3554
Entity
Organization
Contact information
Practice address
11 JOHN F KENNEDY LN, RUMFORD, ME 04276-3636
(207) 364-7863
(207) 364-2672
Mailing address
PO BOX 430, 11 JOHN F. KENNEDY LANE, RUMFORD, ME 04276-0430
(207) 364-7863
(207) 364-2672
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1897
ME
311500000X
Alzheimer Center (Dementia Center)
1897
ME
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1897
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165290000
—
ME
05
—
165290001
—
ME
05
—
165290002
—
ME
Enumeration date
09/27/2005
Last updated
12/03/2018
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