Organization
ISLAND COMMONS RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ROSS WILES (ADMINISTRATOR)
(207) 846-5610
Entity
Organization
Contact information
Practice address
132 LITTLEFIELD RD, CHEBEAGUE ISLAND, ME 04017-3316
(207) 846-4456
(207) 846-9706
Mailing address
132 LITTLEFIELD RD, CHEBEAGUE ISLAND, ME 04017-3316
(207) 846-4456
(207) 846-9706
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS3138
ME
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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