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Organization

SOUTHERN ACRES RESIDENTIAL CARE FACILITY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLENE ROSE ALLEN (ADMINISTRATOR)
(207) 429-9231
Entity
Organization

Contact information

Practice address
203 TWEEDIE RD, WESTFIELD, ME 04787-3216
(207) 429-9231
(207) 429-9611
Mailing address
203 TWEEDIE RD, WESTFIELD, ME 04787-3216
(207) 429-9231
(207) 429-9611

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS2420
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123580000
PROVIDER NUMBER
ME
Enumeration date
04/29/2009
Last updated
04/29/2009
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