| NPI | 1124018312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA BEARDSLEY Fiscal Services 207-594-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2009-10-26 |