| Organization Name: | WOODLANDS SENIOR LIVING OF WATERVILLE, INC. |
| NPI Number: | 1275505935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL A. SIROIS (PROFESSIONAL SERVICES CONSULTANT) |
| Mailing Address: | 147 W River Rd Waterville |
| State: | ME US |
| Postal Code: | 049015070 |
| Phone Number: | 2078615685 |
| Fax Number: | 2078615684 |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | ALLS5407 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |