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20D2194539 CLIA NUMBER - NORTHBRIDGE AVITA WELLS II LLC

Laboratory Demographics

CLIA Number: 20D2194539

Facility Name: NORTHBRIDGE AVITA WELLS II LLC

Facility Address:
86 SANFORD
WELLS, ME
ZIP 04090
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Facility Phone Number: 207 646-3444

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1417414152

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name Field Value
CLIA Number 20D2194539
LAB Type Assisted Living Facility
Facility Name NORTHBRIDGE AVITA WELLS II LLC
Street 86 SANFORD
City WELLS
State ME
ZIP 04090
Phone 207 646-3444
CertificateType 4
CertificateEffectiveDate 10/1/2022
CertificateExpirationDate 9/30/2024
FacilityType Waiver

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