Provider Demographics
NPI:1104962034
Name:YOUNGS FAMILY HOME
Entity type:Organization
Organization Name:YOUNGS FAMILY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:KENNISON
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:207-527-2760
Mailing Address - Street 1:516 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-4412
Mailing Address - Country:US
Mailing Address - Phone:207-527-2760
Mailing Address - Fax:207-527-2760
Practice Address - Street 1:516 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-4412
Practice Address - Country:US
Practice Address - Phone:207-527-2760
Practice Address - Fax:207-527-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility