| NPI | 1568522050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISON BENNETT Administrator 207-892-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |