Organization
ROBERT AND MARY'S PLACE
Active
Other names
Robert and Mary's Place in Machias
Organization subpart
No
Provider details
NPI number
Authorized official
IDA WALLS PAGE M.S. (EXECUTIVE DIRECTOR)
20766754499
Entity
Organization
Contact information
Practice address
50 MEADOW VIEW LN, SUITE # 35, ELLSWORTH, ME 04605-1547
(207) 667-5449
Mailing address
50 MEADOW VIEW LN, SUITE # 35, ELLSWORTH, ME 04605-1547
(207) 667-5449
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ALLS 3166
ME
261QA0600X
Adult Day Care Clinic/Center
ALLS 3175
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160420000
—
ME
01
—
88544745
VETERANS ADMINISTRATION
ME
Enumeration date
04/21/2009
Last updated
04/21/2009
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