| NPI | 1457688962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY PAULES Physical Therapist Assistant 207-873-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME PA3557) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |