NPI | 1669503124 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C ORESTIS Owner 207-786-3554 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 2030) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2009-06-08 |