Provider Demographics
NPI:1386766046
Name:VOLMER COUNTRY LIVING CENTER
Entity type:Organization
Organization Name:VOLMER COUNTRY LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:E
Authorized Official - Last Name:DROUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-873-2040
Mailing Address - Street 1:513 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VASSALBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04989-3412
Mailing Address - Country:US
Mailing Address - Phone:207-873-2040
Mailing Address - Fax:207-873-5918
Practice Address - Street 1:513 MAIN ST
Practice Address - Street 2:
Practice Address - City:VASSALBORO
Practice Address - State:ME
Practice Address - Zip Code:04989-3412
Practice Address - Country:US
Practice Address - Phone:207-873-2040
Practice Address - Fax:207-873-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS1632310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility