Provider Demographics
NPI:1962387035
Name:UNITED COMMUNITY LIVING CENTER
Entity type:Organization
Organization Name:UNITED COMMUNITY LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ST HILAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MHRT-C, CADC, CHW
Authorized Official - Phone:207-242-0308
Mailing Address - Street 1:12 SPRUCE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5204
Mailing Address - Country:US
Mailing Address - Phone:207-242-0308
Mailing Address - Fax:207-213-4735
Practice Address - Street 1:12 SPRUCE ST STE 7
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5204
Practice Address - Country:US
Practice Address - Phone:207-242-0308
Practice Address - Fax:207-213-4735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center