Countryside Adult Family Care Home

NPI #1083936835 in Buxton, Maine

Provider Information

NPI Number
1083936835
Entity Type
Organization
Organization Name
Countryside Adult Family Care Home
Primary Specialty
In Home Supportive Care
Enumeration Date
Feb 22, 2010
Last Updated
Feb 22, 2010

Practice Location

Address
1334 LONG PLAINS ROAD
City
Buxton
State
Maine
ZIP Code
04093
Phone
(207) 929-5787

Authorized Official

Name
MRS. NANCY TAPEC ATIENZA
Title
ADMINISTRATOR
Phone
(207) 929-5787

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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