| NPI | 1225022163 |
|---|---|
| Doing Business As | MONTELLO MANOR |
| Entity Type | Organization |
| Authorized Contact | KENNETH BOWDEN CEO 207-874-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 1787) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 1787) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-08-25 |