MAGNOLIA JED PROUTY NPI 1376356311

NPI Information

  • NPI: 1376356311
  • Provider Name: MAGNOLIA JED PROUTY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 57 MAIN ST
    BUCKSPORT, ME
    ZIP 04416
  • Phone: (207) 902-1220

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NPI Details

MAGNOLIA JED PROUTY is an assisted living facility in Bucksport, 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. MAGNOLIA JED PROUTY NPI is 1376356311. The provider is registered as an organization entity type.

The provider's business location address is:

57 MAIN ST
BUCKSPORT, ME
ZIP 04416-115
Phone: (207) 902-1220
Fax: (207) 902-1230

The provider's authorized official is Taylor Morris .
The authorized official title is Ceo and has the following contact phone number (207) 702-0144.

The enumeration date for this NPI number is 1/31/2025 and was last updated on 1/31/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 3/30/2025

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