Organization · Type 2 NPI
Siesta Haven
Adult Care Home Facility · Bangor, ME
NPI number
1447486808
Active
Practice location
340 State St
Bangor, ME 04401-5531
Fax (207) 942-1204
Mailing address
PO Box 3715
Brewer, ME 04412-3715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | ALLA 3411 (ME) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Bangor
About NPI 1447486808
Siesta Haven's National Provider Identifier is 1447486808, issued on May 29, 2009. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bangor, ME. The record was last updated on May 29, 2009.