Fairmount Boarding Home

NPI #1477797181 in Bangor, Maine

Provider Information

NPI Number: 1477797181
Entity Type: Organization
Organization Name: Fairmount 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 27, 2009

Practice Location

Address: 8 13TH ST
City: Bangor
State: Maine
ZIP Code: 04401-4538
Phone: (207) 942-5816

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X	Primary

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