CLARK SENIOR CARE,INC
Adult Care Home
Calais, Maine
Provider NPI: 1659501534
Organization Information:Organization Name: CLARK SENIOR CARE,INC
Practice Location:
526 SOUTH ST CALAIS, ME 04619 US
Tel: 207-454-3709 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
526 SOUTH ST CALAIS, ME 04619 US
Tel: 207-454-3709 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | ME | ALLS3154 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
131220001 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin