| NPI | 1447354576 |
|---|---|
| Doing Business As | VICTORIAN VILLA REHABILITATION AND LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK A JACOBS Administrator 207-597-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: ME ALLS 2084) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 2003) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |