Provider Demographics
NPI:1083915417
Name:OPEN ARMS SENIOR LIVING LLC
Entity Type:Organization
Organization Name:OPEN ARMS SENIOR LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:I
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-422-3506
Mailing Address - Street 1:31 DANNYS WAY
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:ME
Mailing Address - Zip Code:04640
Mailing Address - Country:US
Mailing Address - Phone:207-422-3506
Mailing Address - Fax:207-422-3506
Practice Address - Street 1:31 DANNYS WAY
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:ME
Practice Address - Zip Code:04640-3961
Practice Address - Country:US
Practice Address - Phone:207-422-3506
Practice Address - Fax:207-422-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS3937385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care