NPI | 1255315263 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE HIBBARD MERRILL Administrator 207-564-8129 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36293) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2020-08-22 |