Maine Avenue Corp., Inc.
NPI #1497020150 in Farmingdale, Maine
Provider Information
- NPI Number
- 1497020150
- Entity Type
- Organization
- Organization Name
- Maine Avenue Corp., Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 14, 2012
- Last Updated
- Mar 14, 2012
Practice Location
- Address
- 270 MAINE AVE
- City
- Farmingdale
- State
- Maine
- ZIP Code
- 04344-4514
- Phone
- (207) 582-6674
Authorized Official
- Name
- MR. DAVID M. KINGSLEY
- Title
- ADMINISTRATOR
- Phone
- (207) 582-6674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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