Organization
OLD TOWN RESIDENTIAL SERVICES CORP.
Active
Other names
The Meadows
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IONA M. CROWLEY (SECRETARY/TREASURER)
(207) 827-6151
Entity
Organization
Contact information
Practice address
110 PERKINS AVE, OLD TOWN, ME 04468-1763
(207) 827-0547
(207) 827-2397
Mailing address
PO BOX 404, OLD TOWN, ME 04468-0404
(207) 827-6151
(207) 827-1502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RCA865
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160470000
PROVIDER NUMBER WITH STATE OF MAINE
ME
Enumeration date
03/24/2009
Last updated
03/24/2009
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