Provider Demographics
NPI:1487105755
Name:CASCO ASSISTED LIVING
Entity type:Organization
Organization Name:CASCO ASSISTED LIVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:ST ONGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-627-7111
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:CASCO
Mailing Address - State:ME
Mailing Address - Zip Code:04015-0538
Mailing Address - Country:US
Mailing Address - Phone:207-627-7111
Mailing Address - Fax:207-627-7505
Practice Address - Street 1:960 MEADOW RD
Practice Address - Street 2:
Practice Address - City:CASCO
Practice Address - State:ME
Practice Address - Zip Code:04015-3316
Practice Address - Country:US
Practice Address - Phone:207-627-7111
Practice Address - Fax:207-627-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility