Coastal Shores, Inc.

NPI #1710164611 in Brunswick, Maine

Provider Information

NPI Number
1710164611
Entity Type
Organization
Organization Name
Coastal Shores, Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 23, 2008
Last Updated
Oct 7, 2015

Practice Location

Address
142 NEPTUNE DRIVE
State
Maine
ZIP Code
04011
Phone
(207) 725-5801

Authorized Official

Name
MR. MITCHELL A ROUSSEAU
Title
PRESIDENT
Phone
(207) 725-4071

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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