| NPI | 1730323262 |
|---|---|
| Other Name | PAVILION |
| Entity Type | Organization |
| Authorized Contact | RON BRYANT Chief Financial Officer 207-324-4310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ME 2264) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |