| NPI | 1588903421 |
|---|---|
| Other Name | TAMMY L.MARTIN/TRASK |
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN MARTIN/TRASK Owner/Manager 207-943-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME ALLS5161) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |