Magnolia Jed Prouty
Magnolia Jed Prouty is an Assisted Living Facility in Bucksport, Maine. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
57 Main StBucksport, ME 04416-4115
Phone: (207) 902-1220
Fax: (207) 902-1230
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1376356311 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Taylor Morris — Ceo · (207) 702-0144 |
| Other names | Evergreen Assisted Living, Llc |
| NPI enumerated | January 31, 2025 |
| Last updated in NPPES | January 31, 2025 |
| Certification date | January 31, 2025 |
| Mailing address | 175 Exchange St Ste 240, Bangor, ME 04401-7408 |