Organization
BROCK PINE RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WESBROCK (CHIEF EXECUTIVE OFFICER)
(207) 691-5059
Entity
Organization
Contact information
Practice address
115 MAINE AVE, RUMFORD, ME 04276-2208
(207) 594-4990
Mailing address
PO BOX 1228, CAMDEN, ME 04843-1228
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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