Organization
JACOBS RESIDENTIAL CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE S CORSON (OWNER/ADMINISTRATOR)
(207) 696-4466
Entity
Organization
Contact information
Practice address
7 CHURCH ST, ANSON, ME 04911-0322
(207) 696-4466
(207) 696-4466
Mailing address
PO BOX 322, 7 CHURCH ST, ANSON, ME 04911-0322
(207) 696-4466
(207) 696-4466
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
ALLS3393
ME
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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