Organization
PINECREST HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGIA SIMONE SAMUELS (CO-OWNER)
(207) 922-0049
Entity
Organization
Contact information
Practice address
60 WEST ST, BANGOR, ME 04401-5809
(207) 922-0049
Mailing address
42 DANA DR, BANGOR, ME 04401-2749
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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