NPI | 1669952446 |
---|---|
Doing Business As | GREGORY WING AT ST. ANDREWS VILLAGE |
Entity Type | Organization |
Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2018-08-21 |
Last Update Date | 2020-05-11 |