| NPI | 1700251238 |
|---|---|
| Former Legal Business Name | BREANNA HARDY |
| Entity Type | Organization |
| Authorized Contact | BREANNA BERGREN Registered Occupational Therapist 207-249-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 5930) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |