| NPI | 1699073080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL A. ROUSSEAU President 207-725-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-09-13 |