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WOODLANDS SENIOR LIVING OF WATERVILLE LLC NPI 1285606848


NPI Information

NPI: 1285606848
Provider Name: WOODLANDS SENIOR LIVING OF WATERVILLE, LLC

Doing Business As: PARK RESIDENCES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 20D2202250

Address:
141 W RIVER RD
WATERVILLE, ME
ZIP 04901
Phone: (207) 861-5685
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WOODLANDS SENIOR LIVING OF WATERVILLE, LLC is an assisted living facility in Waterville, 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. WOODLANDS SENIOR LIVING OF WATERVILLE, LLC NPI is 1285606848. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Residences.

The provider's business location address is:

141 W RIVER RD
WATERVILLE, ME
ZIP 04901-098
Phone: (207) 861-5685
Fax: (207) 861-5684

The provider's authorized official is Jill A Sirois .
The authorized official title is Professional Services Consultant and has the following contact phone number (207) 872-8992.

The CLIA number assigned to this NPI record is 20D2202250 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 1/15/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALLS1968MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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