Organization
MAINE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW COFFIN L BHP,CRMA,DSP,BFA (EXUCUTIVE DIRECTOR)
(207) 272-2723
Entity
Organization
Contact information
Practice address
95 NARRAGANSETT ST, GORHAM, ME 04038-1411
(207) 272-2723
Mailing address
95 NARRAGANSETT ST, GORHAM, ME 04038-1411
(207) 272-2723
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RCA38665
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RCA38665
ASSISTED LIVING FACILITY
ME
Enumeration date
02/17/2017
Last updated
05/25/2017
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