Organization
THE ELMS PERSONAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL P. RUDMAN (PRESIDENT/ADMINISTRATOR)
(207) 399-3707
Entity
Organization
Contact information
Practice address
35 ELM ST., NORTH ANSON, ME 04958
(207) 635-2567
Mailing address
PO BOX 6, 35 ELM ST., NORTH ANSON, ME 04958-0006
(207) 635-2567
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ALLS 3621
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114810000
—
ME
Enumeration date
06/17/2009
Last updated
10/09/2009
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