392 Main Street Operator LLC
NPI #1467978494 in Saco, Maine
Provider Information
- NPI Number
- 1467978494
- Entity Type
- Organization
- Organization Name
- 392 Main Street Operator LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- WILLIAM H STEPHAN
- Title
- CFO
- Phone
- (617) 943-7747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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