| Organization Name: | MAINE LIFE CARE RETIREMENT COMMUNITY |
| NPI Number: | 1083008098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD ASHLEY (MANAGER) |
| Mailing Address: | 15 Piper Road Scarborough |
| State: | ME US |
| Postal Code: | 040747541 |
| Phone Number: | 2078838700 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2015 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |