Fallbrook Residential Care Facility, Inc.

NPI #1477881951 in Portland, Maine

Provider Information

NPI Number: 1477881951
Entity Type: Organization
Organization Name: Fallbrook Residential Care Facility, Inc.
Primary Specialty: Assisted Living Facility
Enumeration Date: Nov 23, 2009
Last Updated: Nov 23, 2009

Practice Location

Address: 418 RAY ST
City: Portland
State: Maine
ZIP Code: 04103-3934
Phone: (207) 878-0788

Authorized Official

Name: MR. GLEN G CYR
Title: VP FINANCE
Phone: (207) 786-3554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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