Organization Name: | MAINE AVENUE CORP., INC. |
NPI Number: | 1497020150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID M. KINGSLEY (ADMINISTRATOR) |
Mailing Address: | 270 Maine Ave Farmingdale |
State: | ME US |
Postal Code: | 043444514 |
Phone Number: | 2075826674 |
Fax Number: | 2075823845 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |