Organization
DAVIS LONG TERM CARE GROUP INC
Active
Other names
Davis Estates
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A CLOUTIER ESQ. (PRESIDENT/OWNER)
(207) 594-4990
Entity
Organization
Contact information
Practice address
96 STACKPOLE DRIVE, MACHIAS, ME 04654-1115
(207) 255-6611
(207) 255-0689
Mailing address
18 TALBOT AVE, ROCKLAND, ME 04841-2862
(207) 594-4990
(207) 594-4974
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
121180000
ME
310400000X
Assisted Living Facility
Primary
PND665
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
METPID002096
—
ME
Enumeration date
03/03/2006
Last updated
08/16/2017
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