68 DEVONSHIRE STREET CORP. NPI 1902887060

NPI Information

68 DEVONSHIRE STREET CORP. is an assisted living facility in Portland, ME. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 68 DEVONSHIRE STREET CORP. NPI is 1902887060. The provider is registered as an organization entity type.
The provider Is Doing Business As Portland Center For Assisted Living.

The provider's business location address is:

68 DEVONSHIRE ST
PORTLAND, ME
ZIP 04103-431
Phone: (207) 772-2893

The provider's authorized official is Kenneth Bowden .
The authorized official title is Ceo and has the following contact phone number (207) 874-2700.

The CLIA number assigned to this NPI record is 20D0088675 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 5/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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