| NPI | 1609917889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALYN P LOGUE Finance Administrator 207-541-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36498) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2019-06-25 |