Maine Avenue Corp., Inc.

Organization Active NPI Assisted Living Facility · Farmingdale, ME

NPI 1497020150 · NPPES record last updated Mar 14, 2012

Key facts

NPI
1497020150
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
264 (ME)
Legal business name
MAINE AVENUE CORP., INC.
Practice address
270 Maine Ave
Farmingdale, ME 04344-4514
Phone
(207) 582-6674
Fax
(207) 582-3845
NPI assigned
Mar 14, 2012
Organization subpart
No

Authorized official

Name
Mr. David M. Kingsley
Title
Administrator
Phone
(207) 582-6674

National Provider Directory

Locations

270 Maine Ave
Farmingdale, ME 04344
Phone (207) 582-6674

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 264 ME Yes

Addresses

Primary practice location

270 Maine Ave
Farmingdale, ME 04344-4514

Mailing address

270 Maine Ave
Farmingdale, ME 04344-4514
Phone (207) 582-6674

Other providers in Farmingdale, ME

All providers in Farmingdale, ME · Assisted Living Facility in Maine

Sources for this page

Verify at the official NPI Registry.