Provider Demographics
NPI:1659899144
Name:TRUSTED SOULS ADULT DAYCARE CENTER, LLC
Entity Type:Organization
Organization Name:TRUSTED SOULS ADULT DAYCARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-713-4125
Mailing Address - Street 1:1019 LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-3412
Mailing Address - Country:US
Mailing Address - Phone:207-926-8037
Mailing Address - Fax:
Practice Address - Street 1:1019 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-3412
Practice Address - Country:US
Practice Address - Phone:207-926-8037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care