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Organization

MOUNT ST. JOSEPH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY SIROIS (ADMINISTRATOR)
(207) 873-0705
Entity
Organization

Contact information

Practice address
7 HIGHWOOD ST, WATERVILLE, ME 04901-5739
(207) 873-0705
(207) 873-6626
Mailing address
7 HIGHWOOD ST, WATERVILLE, ME 04901-5739
(207) 873-0705
(207) 873-6626

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1915
ME
3104A0625X
Assisted Living Facility (Mental Illness)
1915
ME
314000000X
Skilled Nursing Facility
Primary
1915
ME

Other

Enumeration date
09/30/2005
Last updated
06/17/2013
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