| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DALE A WHITE | 1407449176 | 2021-02-14 |
Dale A White is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407449176. Registration indicates Dale A White is a provider of services with a specialization in Nursing & Custodial Care Facilities, Assisted Living Facility (Assisted Living Facility, ) (Assisted Living Facility, Nursing & Custodial Care Facilities)
| Entity Type | Individual |
| Provider Name | Mr. Dale A White DSP, CRMA |
| Practice Office Address | 414 TATE RD CORINTH, ME US |
| Practice Office Telephone | 2079244113 |
| Mailing Address | 414 TATE RD CORINTH, ME 044273609 US |
| Business Telephone | 2079244113 |
| Code | Practice | License No State |
|---|---|---|
| 310400000X PRIMARY | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living Facility Assisted Living Facility Nursing & Custodial Care Facilities |