Organization
NORTH COUNTRY ASSOCIATES, INC
Active
Other names
Courtland Rehab & Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN G CYR (VP OF FINANCE)
(207) 786-3554
Entity
Organization
Contact information
Practice address
42 BUCKSPORT RD, ELLSWORTH, ME 04605-2230
(207) 667-9036
(207) 667-7197
Mailing address
179 LISBON ST, 2ND FLOOR, LEWISTON, ME 04240-7248
(207) 786-3554
(207) 786-8507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2048
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038425
BLUE CROSS PROVIDER #
ME
Enumeration date
12/11/2006
Last updated
10/17/2007
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