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:
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:
132 MIDDLE RD UNION, ME 04862 US
Tel: 207-785-4419 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ME | 111220000 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ME | PND974 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
METPID002102 | ME | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin