| 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 |