NPI | 1407841083 |
---|---|
Doing Business As | ODD FELLOWS' AND REBEKAHS' HOME OF MAINE |
Entity Type | Organization |
Authorized Contact | JOHN J. BOLDUC Executive Director 207-786-4616 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 1910) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2020-08-22 |