Organization
NORTH COUNTRY ASSOCIATES, INC
Active
Other names
Northland Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN G CYR (VP OF FINANCE)
(207) 786-3554
Entity
Organization
Contact information
Practice address
382 MAIN ST, JACKMAN, ME 04945-5214
(207) 668-3221
(207) 668-4159
Mailing address
179 LISBON ST, 2ND FLOOR, LEWISTON, ME 04240-7248
(207) 786-3554
(207) 786-8507
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
36354
ME
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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