Individual
MR. RON STEPHEN WHEELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
883 CHISHOLM POND RD, PALERMO, ME 04354-7424
(207) 441-2673
Mailing address
883 CHISHOLM POND RD, PALERMO, ME 04354-7424
(207) 441-2673
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS-6306
ME
311Z00000X
Custodial Care Facility
ALLS-6306
ME
311ZA0620X
Adult Care Home Facility
ALLS-6306
ME
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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