Organization
WINDHAM RESIDENTIAL CARE FACILITY, INC
Active
Other names
REST-A-VILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A ROGERS (OWNER/ADMINISTRATOR)
(207) 892-7141
Entity
Organization
Contact information
Practice address
497 RIVER RD, WINDHAM, ME 04062-4603
(207) 892-7141
Mailing address
495 RIVER RD, WINDHAM, ME 04062-4603
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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