20D1102428 CLIA NUMBER - HILLTOP MANOR

Laboratory Demographics

CLIA Number: 20D1102428

Facility Name: HILLTOP MANOR

Facility Address:
462 ESSEX STREET
DOVER FOXCROFT, ME
ZIP 04426
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Facility Phone Number: 207 564-3049

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1609077726

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	20D1102428
LAB Type	Assisted Living Facility
Facility Name	HILLTOP MANOR
Street	462 ESSEX STREET
City	DOVER FOXCROFT
State	ME
ZIP	04426
Phone	207 564-3049
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024