NPI | 1467446393 |
---|---|
Doing Business As | AMENITY MANOR |
Entity Type | Organization |
Authorized Contact | MITCHELL A. ROUSSEAU President 207-725-4071 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 35865) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: ME 35865) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2011-03-09 |