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FALLBROOK INC

Custodial Care Facility

Portland, Maine

Provider NPI: 1366600371

Organization Information:
Organization Name:  FALLBROOK INC


Practice Location:
418 RAYSTREET  PORTLAND, ME 04103 US
Tel: 207-878-0788  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
ME372595
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
ME372595

Other Provider Identifiers:

IssuerNumberStateType
123760000ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




CUSTODIAL CARE JOBS ME - Page 1