NPI | 1619967627 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA ELLEN GOSLIN Administrator/CEO 207-732-4121 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ME 1884) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 1884) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2020-08-22 |