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MANOR AT PHILLIPSTOWN PLACE INC

Custodial Care Facility

Springvale, Maine

Provider NPI: 1295979755

Organization Information:
Organization Name:  MANOR AT PHILLIPSTOWN PLACE INC


Practice Location:
164 HANSON RIDGE RD  SPRINGVALE, ME 04083 US
Tel: 207-324-3371  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
MEALLS 2770

Other Provider Identifiers:

IssuerNumberStateType
124600000ME05
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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