Organization
NORTHERN MAINE GENERAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNOLD RAYMOND (CEO)
(207) 444-5152
Entity
Organization
Contact information
Practice address
5 CARTER STREET, EAGLE LAKE, ME 04739-0310
(207) 444-5152
Mailing address
PO BOX 310, EAGLE LAKE, ME 04739-0310
(207) 444-5152
(207) 444-6099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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