Provider Demographics
NPI:1265767081
Name:THE FARMINGTON HOME FOR AGED PEOPLE, INC.
Entity type:Organization
Organization Name:THE FARMINGTON HOME FOR AGED PEOPLE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:BEULAH
Authorized Official - Last Name:MOOAR
Authorized Official - Suffix:
Authorized Official - Credentials:DTR
Authorized Official - Phone:207-778-4745
Mailing Address - Street 1:204 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-1901
Mailing Address - Country:US
Mailing Address - Phone:207-778-4745
Mailing Address - Fax:207-778-5922
Practice Address - Street 1:204 MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-1901
Practice Address - Country:US
Practice Address - Phone:207-778-4745
Practice Address - Fax:207-778-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS3486310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility