WOODLANDS SENIOR LIVING OF BREWER, LLC
Alzheimer Center
Brewer, Maine
Provider NPI: 1861613879
Organization Information:Organization Name: WOODLANDS SENIOR LIVING OF BREWER, LLC
Practice Location:
53 COLONIAL CIR BREWER, ME 04412 US
Tel: 207-989-7577 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:
53 COLONIAL CIR BREWER, ME 04412 US
Tel: 207-989-7577 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 | ALLS2646 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LEVEL IV PNMI RCF LICENSE | ALLS2646 | ME | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin