NPI | 1588903421 |
---|---|
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 |