Organization
MANOR AT PHILLIPSTOWN PLACE INC
Active
Parent organization
MANOR AT PHILLIPSTOWN PLACE INC
Other names
Mountain View
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANOR AT PHILLIPSTOWN PLACE INC
Authorized official
MR. RON BRYANT (CHIEF FINANCIAL OFFICER)
(207) 490-7327
Entity
Organization
Contact information
Practice address
164 HANSON RIDGE RD, SPRINGVALE, ME 04083-5403
(207) 324-3371
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
ALLS 2770
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124600000
—
ME
Enumeration date
04/28/2009
Last updated
04/28/2009
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