Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home Care68 DEVONSHIRE STREET CORP.
Assisted Living Facility
Portland, Maine
Provider NPI: 1902887060
Organization Information:Organization Name: 68 DEVONSHIRE STREET CORP.
Practice Location:
68 DEVONSHIRE ST PORTLAND, ME 04103 US
Tel: 207-772-2893 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:
68 DEVONSHIRE ST PORTLAND, ME 04103 US
Tel: 207-772-2893 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ME | ALLS 1625 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 131950000 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin