Organization
NOLI TRPINAWZK CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA E KNOX-NICOLA (PRESIDENT)
(207) 817-7400
Entity
Organization
Contact information
Practice address
2 SARAHS SPRING LN, INDIAN ISLAND, ME 04468-1270
(207) 827-0968
(207) 827-4016
Mailing address
2 SARAHS SPRING LN, INDIAN ISLAND, ME 04468-1270
(207) 827-0968
(207) 827-4016
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS 2138
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4318879200
—
ME
Enumeration date
11/06/2006
Last updated
08/22/2020
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