Organization · Type 2 NPI
Magnolia Jed Prouty
Assisted Living Facility · Bucksport, ME
NPI number
1376356311
Active
Practice location
57 Main St
Bucksport, ME 04416-4115
Fax (207) 902-1230
Mailing address
175 Exchange St Ste 240
Bangor, ME 04401-7408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1376356311
Magnolia Jed Prouty's National Provider Identifier is 1376356311, issued on Jan 31, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bucksport, ME. The record was last updated on Jan 31, 2025.