ROSS MANOR ASSOCIATES
Alzheimer Center
Bangor, Maine
Provider NPI: 1790910883
Organization Information:Organization Name: ROSS MANOR ASSOCIATES
Practice Location:
758 BROADWAY BANGOR, ME 04401 US
Tel: 207-941-8400 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:
758 BROADWAY BANGOR, ME 04401 US
Tel: 207-941-8400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | ME | 1988 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
120640001 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin