Organization
HOMES OF REVIVAL INC.
Active
Other names
Rose of Sharon/Haven of Rest
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE ANN HALL (ADMINISTRATOR)
(207) 223-5528
Entity
Organization
Contact information
Practice address
984 N MAIN ST, WINTERPORT, ME 04496-3404
(207) 223-5528
Mailing address
984 N MAIN ST, WINTERPORT, ME 04496-3404
(207) 223-5528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALLS 3316
ME
310400000X
Assisted Living Facility
Primary
ALLS 3645
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101430000
MAINECARE
ME
01
—
433036600
MAINECARE
ME
01
—
433036601
MAINECARE
ME
Enumeration date
12/16/2009
Last updated
12/16/2009
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