Organization
COUNTRY VILLAGE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W SYMONDS (CEO)
(207) 776-8382
Entity
Organization
Contact information
Practice address
960 MEADOW RD, CASCO, ME 04015
(207) 627-7111
(207) 627-7505
Mailing address
960 MEADOW RD, PO BOX 600, CASCO, ME 04015
(207) 627-7111
(207) 627-7505
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS3439
ME
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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