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CHARLOTTE WHITE CENTER

Adult Care Home

Dover Foxcroft, Maine

Provider NPI: 1003059049

Organization Information:
Organization Name:  CHARLOTTE WHITE CENTER


Practice Location:
572 BANGOR RD  DOVER FOXCROFT, ME 04426 US
Tel: 207-564-2464  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Other Provider Identifiers:

IssuerNumberStateType
164840101ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS ME - Page 1



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