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DAVIS LONG TERM CARE GROUP INC

Assisted Living Facility

Union, Maine

Provider NPI: 1649247081

Organization Information:
Organization Name:  DAVIS LONG TERM CARE GROUP INC


Practice Location:
132 MIDDLE RD  UNION, ME 04862 US
Tel: 207-785-4419  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
ME111220000
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MEPND974

Other Provider Identifiers:

IssuerNumberStateType
METPID002102ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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