Brock Halldale LLC
NPI #1255140307 in Farmingdale, Maine
Provider Information
- NPI Number
- 1255140307
- Entity Type
- Organization
- Organization Name
- Brock Halldale LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 3, 2025
- Last Updated
- Jan 3, 2025
Practice Location
- Address
- 647 MAINE AVE
- City
- Farmingdale
- State
- Maine
- ZIP Code
- 04344-1526
- Phone
- (207) 622-7082
Authorized Official
- Name
- KELLY WESBROCK
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (207) 691-5059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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