Individual
EVELYN DOROTHY NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 STILLWATER AVE, OLD TOWN, ME 04468-2200
(207) 249-8998
Mailing address
PO BOX 527, OLD TOWN, ME 04468-0527
(207) 249-8998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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