Provider Demographics
NPI:1427322999
Name:CHAMBERS REALTY LLC
Entity type:Organization
Organization Name:CHAMBERS REALTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-902-1220
Mailing Address - Street 1:PO BOX 1932
Mailing Address - Street 2:57 MAIN ST
Mailing Address - City:BUCKSPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04416-1932
Mailing Address - Country:US
Mailing Address - Phone:207-902-1220
Mailing Address - Fax:207-902-1230
Practice Address - Street 1:57 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCKSPORT
Practice Address - State:ME
Practice Address - Zip Code:04416-1932
Practice Address - Country:US
Practice Address - Phone:207-902-1220
Practice Address - Fax:207-902-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home