Organization
LEWISTON OPERATIONS, LLC
Active
Other names
Marshwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THEODORE BERG (ASSISTANT SECRETARY)
(610) 444-6350
Entity
Organization
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
(207) 784-0752
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1956
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432468901
—
ME
Enumeration date
12/19/2006
Last updated
01/31/2024
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