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Organization

MOUNTAIN VISTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY M STROUT LPN (OWNER)
(207) 483-2247
Entity
Organization

Contact information

Practice address
44 S BAY RD, FRANKLIN, ME 04634-3140
(207) 565-3804
Mailing address
44 S BAY RD, FRANKLIN, ME 04634-3140
(207) 565-3804

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS 3404
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132970101
ME
Enumeration date
11/13/2009
Last updated
11/13/2009
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