Organization
ROSE OF SHARON/HAVEN OF REST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HALL (OWNER)
(207) 223-5528
Entity
Organization
Contact information
Practice address
984 NORTH MAIN STREET, WINTERPORT, ME 04496
(207) 223-5528
Mailing address
984 NORTH MAIN STREET, PO BOX 649, WINTERPORT, ME 04496
(207) 223-5528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS6501
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433036601
MAINECARE
ME
05
—
433036601
—
ME
Enumeration date
09/07/2016
Last updated
09/07/2016
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