| NPI | 1114914231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARY ANDERSON Administratro 207-564-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 1913) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 1913) |
| 310400000X Assisted Living Facility (Licence: ME 1913) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |