Provider Demographics
NPI:1144528571
Name:GOLDEN ACRES BOARDING HOME
Entity type:Organization
Organization Name:GOLDEN ACRES BOARDING HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RESIDENTIAL FACILITY ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-460-3825
Mailing Address - Street 1:80 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:ME
Mailing Address - Zip Code:04634-3114
Mailing Address - Country:US
Mailing Address - Phone:207-460-3825
Mailing Address - Fax:207-565-2352
Practice Address - Street 1:99 PATTEN POND RD
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:ME
Practice Address - Zip Code:04684-3329
Practice Address - Country:US
Practice Address - Phone:207-460-3825
Practice Address - Fax:207-565-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility