Organization
MAINE AVENUE CORP., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M. KINGSLEY (ADMINISTRATOR)
(207) 582-6674
Entity
Organization
Contact information
Practice address
270 MAINE AVE, FARMINGDALE, ME 04344-4514
(207) 582-6674
(207) 582-3845
Mailing address
270 MAINE AVE, FARMINGDALE, ME 04344-4514
(207) 582-6674
(207) 582-3845
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
264
ME
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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