Organization Name: | TRUSLOW ADULT DAY HEALTH |
NPI Number: | 1174759500 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA THOMAS (DIRECTOR) |
Mailing Address: | 333 Lincoln St Saco |
State: | ME US |
Postal Code: | 040723113 |
Phone Number: | 2072830166 |
Fax Number: | 2072832470 |
NPI Enumeration Date: | 05/29/2009 |
NPI Last Update Date: | 10/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | ALLS3017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |