Provider Demographics
NPI:1346365913
Name:RESIDENTIAL CARE SERVICES OF MAINE
Entity Type:Organization
Organization Name:RESIDENTIAL CARE SERVICES OF MAINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-947-0036
Mailing Address - Street 1:227 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4001
Mailing Address - Country:US
Mailing Address - Phone:207-947-0036
Mailing Address - Fax:207-262-9490
Practice Address - Street 1:227 ESSEX ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4001
Practice Address - Country:US
Practice Address - Phone:207-947-0036
Practice Address - Fax:207-262-9490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility