COUNTRY VILLAGE ASSISTED LIVING - NPI 1487105755 - Assisted Living Facility in Casco, ME

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Country Village Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY VILLAGE ASSISTED LIVING (NPI 1487105755) is a healthcare organization registered as an assisted living facility in Casco, Maine and active in the NPI registry since October 2016. The organization lists David B. St Onge, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487105755

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCASCO ASSISTED LIVING

Location Address960 MEADOW RDCasco, ME 04015-3316

Mailing AddressPo Box 538Casco, ME 04015-0538 · (207) 627-7111 · Fax (207) 627-7505

Phone(207) 627-7111

Fax(207) 627-7505

Organization SubpartNo

Authorized OfficialDavid B. St OngeCeo · (207) 627-7111

Enumeration DateOctober 20, 2016

✔ NPI 1487105755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

960 MEADOW RD, Casco, ME 04015

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