Provider Demographics
NPI:1669589305
Name:CENTRAL MAINE LONG TERM CARE, INC.
Entity type:Organization
Organization Name:CENTRAL MAINE LONG TERM CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-784-1364
Mailing Address - Street 1:26 BOLSTER ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-5302
Mailing Address - Country:US
Mailing Address - Phone:207-784-1364
Mailing Address - Fax:207-782-2024
Practice Address - Street 1:26 BOLSTER ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5302
Practice Address - Country:US
Practice Address - Phone:207-784-1364
Practice Address - Fax:207-782-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS1950310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility