20D2200623 CLIA NUMBER - WOODLANDS MEMORY CARE OF ROCKLAND

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Laboratory Demographics

CLIA Number: 20D2200623

Facility Name: WOODLANDS MEMORY CARE OF ROCKLAND

Facility Address:
201 CAMDEN ST
ROCKLAND, ME
ZIP 04841
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Facility Phone Number: 207 593-0383

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1285870857

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	20D2200623
LAB Type	Assisted Living Facility
Facility Name	WOODLANDS MEMORY CARE OF ROCKLAND
Street	201 CAMDEN ST
City	ROCKLAND
State	ME
ZIP	04841
Phone	207 593-0383
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

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