Windham Residential Care Facility, Inc

NPI 1508100124 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1508100124
Enumeration Date 11/20/2012
Last Updated 11/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CAROL A CAROL
Position OWNER/ADMINISTRATOR
Phone (207) 892-7141
Fax
Practice Location
497 RIVER RD
WINDHAM ME, 04062-4603, US
Phone (207) 892-7141
Fax
Business Location
495 RIVER RD
WINDHAM ME, 04062-4603, US
Phone
Fax
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
Remove 1508100124 NPI Number
 

According to our database, Windham Residential Care Facility, Inc NPI is 1508100124, taxonomy code is 315P00000X Windham Residential Care Facility, Inc physically located at 497 River Rd, Windham ME, 04062-4603. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1508100124 NPI number is provided on an as is basis without warranty of any kind. 1508100124 is maintained by the National Plan & Provider Enumeration System. The contents of Windham Residential Care Facility, Inc are for informational purposes only.