Davis Long Term Care Group Inc
Organization Active NPI Assisted Living Facility · Springvale, ME
NPI 1992772347 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1992772347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 407340000 (ME)
- Legal business name
- DAVIS LONG TERM CARE GROUP INC
- Practice address
- 51 Main St
Springvale, ME 04083-1843 - Phone
- (207) 324-4757
- Fax
- (207) 490-6530
- NPI assigned
- Mar 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Bernard E Davis Jr.
- Title
- President
- Phone
- (207) 594-4990
Corporate family (same tax ID) 22
Practitioners 2
-
Susan D. Paul, MD
-
Akindele Majekodunmi, M.D., M.B.A
National Provider Directory
- Tax ID family
- Davis Long Term Care Grop Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 407340000 | ME | Yes |
Addresses
Primary practice location
51 Main St
Springvale, ME 04083-1843
Mailing address
58 Park St
Suite 202
Rockland, ME 04841-2862
Phone (207) 594-4985
Other names
- Lodges Care Center
Other providers in Springvale, ME
- Paxton Couture
- Jeanne H. Croy
- Shayne Croy
- Courtney Elizabeth Daly
- Davis Long Term Care Grop Inc
- Jessica L. Disanto
- Cassidy Nicole Drew
- Heidi Nena Drew
- Maggie Jean Drinkwater
- Heidi Dubois
All providers in Springvale, 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 Jul 13, 2009. 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.