Dexter Boarding Home

NPI #1205070919 in Dexter, Maine

Provider Information

NPI Number
1205070919
Entity Type
Organization
Organization Name
Dexter Boarding Home
Subpart
Yes (part of a larger organization)
Parent Organization
RAYMOND H BISHOP
Primary Specialty
Custodial Care Facility
Enumeration Date
Apr 24, 2009
Last Updated
Apr 24, 2009

Practice Location

Address
45 MAIN ST
City
Dexter
State
Maine
ZIP Code
04930-1267
Phone
(207) 924-6211

Authorized Official

Name
RAYMOND H BISHOP
Title
OWNER
Phone
(207) 924-6211

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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