NPI | 1710977236 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH BOWDEN CEO 207-874-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 2107) |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: ME 36255) |
261QP2000X Clinic/Center, Physical Therapy (Licence: ME 36255) | |
235Z00000X Speech-Language Pathologist, (Licence: ME 36255) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2012-09-24 |