Organization
CROSSWINDS RESIDENTIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J ROY (PRESIDENT)
(207) 834-3701
Entity
Organization
Contact information
Practice address
40 VILLAGE RD, FORT KENT, ME 04743-1031
(207) 834-3701
Mailing address
40 VILLAGE RD, FORT KENT, ME 04743-1031
(207) 834-3701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALLS 2707
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432521800
—
ME
Enumeration date
03/28/2008
Last updated
07/14/2009
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