Organization
ELR CARE MAINE LLC
Active
Parent organization
ELR CARE MAINE LLC
Other names
Northern Bay Residential Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELR CARE MAINE LLC
Authorized official
MR. MICHAEL TYLER (RECEIVER)
(207) 854-2973
Entity
Organization
Contact information
Practice address
12 NORTH PENOBSCOT ROAD, PENOBSCOT, ME 04476
(207) 326-4344
(207) 326-9615
Mailing address
12 NORTH PENOBSCOT ROAD, PENOBSCOT, ME 04476
(207) 326-4344
(207) 326-9615
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2335
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405380005
—
ME
Enumeration date
04/28/2009
Last updated
08/03/2010
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