Organization Name: | WOODLANDS SENIOR LIVING OF CAPE ELIZABETH, LLC |
NPI Number: | 1487966792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW WALTERS (CHIEF OPERATING OFFICER) |
Mailing Address: | 126 Scott Dyer Rd Cape Elizabeth |
State: | ME US |
Postal Code: | 041072230 |
Phone Number: | 2075539616 |
Fax Number: | 2075539618 |
NPI Enumeration Date: | 07/02/2010 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |