Provider Demographics
NPI:1700392479
Name:FRANKFORT ASSISTED LIVING
Entity Type:Organization
Organization Name:FRANKFORT ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-952-0240
Mailing Address - Street 1:152 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-1324
Mailing Address - Country:US
Mailing Address - Phone:207-454-8961
Mailing Address - Fax:207-454-8964
Practice Address - Street 1:112 N SEARSPORT RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:ME
Practice Address - Zip Code:04438-3204
Practice Address - Country:US
Practice Address - Phone:207-223-4509
Practice Address - Fax:207-223-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERCD38669310400000X
MERCD38670310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility