Provider Demographics
NPI:1629201272
Name:ASHLAND CARE GIVERS ASSOCIATION
Entity Type:Organization
Organization Name:ASHLAND CARE GIVERS ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-768-4000
Mailing Address - Street 1:35 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04732-3429
Mailing Address - Country:US
Mailing Address - Phone:207-435-3700
Mailing Address - Fax:207-435-2007
Practice Address - Street 1:35 WALKER ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:ME
Practice Address - Zip Code:04732-3429
Practice Address - Country:US
Practice Address - Phone:207-435-3700
Practice Address - Fax:207-435-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS3426310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility