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Organization

THE BEACON PROJECT

Active
Other names
Boardman Cottage
Organization subpart
No

Provider details

NPI number
Authorized official
MAURA M MICHAEL (ADMINISTRATOR)
(207) 734-2100
Entity
Organization

Contact information

Practice address
131 MAIN RD, ISLESBORO, ME 04848-4501
(207) 734-2100
(207) 734-2101
Mailing address
131 MAIN RD, ISLESBORO, ME 04848-4501
(207) 734-2100
(207) 734-2101

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ALLS2773
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431996200
ME
Enumeration date
06/09/2009
Last updated
01/24/2011
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