Organization
LAKEVIEW TERRACE RESIDENTIAL CARE FACILITY
Active
Parent organization
NORTHERN PINES CARE ESTATES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN PINES CARE ESTATES INC.
Authorized official
MR. VERNON M TAYLOR ADMINISTRATOR (PRESIDENT)
(207) 794-6086
Entity
Organization
Contact information
Practice address
74 TAYLOR ST, LINCOLN, ME 04457-1145
(207) 794-6086
(207) 794-8003
Mailing address
74 TAYLOR ST, LINCOLN, ME 04457-1145
(207) 794-6086
(207) 794-8003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS 3460
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432050301
—
ME
Enumeration date
04/23/2009
Last updated
04/23/2009
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