NPI | 1154796415 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA L SKEATE Administrator 207-598-8668 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME RCC2376) |
Enumeration Date | 2015-12-11 |
Last Update Date | 2015-12-11 |