NPI | 1629065503 |
---|---|
Entity Type | Organization |
Authorized Contact | DAYNA LARSON-HURST Administrator/CEO 207-282-5171 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36288) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2020-08-22 |