Organization
DAVIS LONG TERM CARE GROUP INC
Active
Other names
CAPITOL CITY MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA HOUST (CFO)
(207) 594-4985
Entity
Organization
Contact information
Practice address
313 STATE ST, AUGUSTA, ME 04330-7037
(207) 622-6823
(207) 626-7681
Mailing address
58 PARK ST, SUITE 202, ROCKLAND, ME 04841-2862
(207) 594-4985
(207) 594-4974
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS2202
ME
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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