| NPI | 1265429708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY SIROIS Administrator 207-873-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 1915) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ME 1915) |
| 310400000X Assisted Living Facility (Licence: ME 1915) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2013-06-17 |