Organization
WINDHAM RESIDENTIAL CARE FACILITY
Active
Other names
carols residential care facility
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN ROGERS (OWNER ADMINISTRATOR)
(207) 892-7141
Entity
Organization
Contact information
Practice address
478 RIVER RD, WINDHAM, ME 04062-4605
(207) 892-7141
(207) 892-6131
Mailing address
495 RIVER RD, WINDHAM, ME 04062-4603
(207) 892-7141
(207) 892-6131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154870100
PROVIDER
ME
Enumeration date
03/16/2007
Last updated
04/21/2009
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