NPI | 1285315010 |
---|---|
Doing Business As | BREAKWATER COMMONS |
Entity Type | Organization |
Authorized Contact | GLEN GILMAN CYR Senior VP Finance 207-786-3554 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-12-12 |