A2002 Senior, LLC
Organization Active NPI Assisted Living Facility · Kennebunk, ME
NPI 1790089753 · NPPES record last updated Jan 6, 2011
Key facts
- NPI
- 1790089753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- A2002 SENIOR, LLC
- Practice address
- 1 Penny LN
Kennebunk, ME 04043-6635 - Phone
- (207) 985-5866
- NPI assigned
- Jan 6, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- A2002 SENIOR, LLC
Authorized official
- Name
- Bryan Hudson
- Title
- General Counsel
- Phone
- (502) 779-7683
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- A2002 Senior LLC
- Part of
- A2002 Senior LLC
Locations
1 Penny Ln
Kennebunk, ME 04043
Phone (207) 985-5866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1 Penny LN
Kennebunk, ME 04043-6635
Mailing address
1 Penny LN
Kennebunk, ME 04043-6635
Phone (207) 985-5866
Other names
- Kennebunk
Other providers in Kennebunk, ME
- 3 Brazier Lane Opco, LLC
- Jessica A Abbott
- Faisal S Abdillahi
- Acorn & Oak LLC
- Sheila Ann Adams
- Advance Orthotic & Prosthetic Services, Inc.
All providers in Kennebunk, ME · Assisted Living Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.