NPI | 1427026657 |
---|---|
Doing Business As | HAWTHORNE HOUSE |
Entity Type | Organization |
Authorized Contact | KENNETH BOWDEN C Eo 207-874-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 2005) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: ME 2005) |
261QX0100X Clinic/Center, Occupational Medicine (Licence: ME 2005) | |
235Z00000X Speech-Language Pathologist, (Licence: ME 2005) | |
310400000X Assisted Living Facility (Licence: ME 2103) | |
310500000X Intermediate Care Facility, Mental Illness (Licence: ME 2103) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2013-06-07 |