NPI | 1750381018 |
---|---|
Former Legal Business Name | JEWISH HOME FOR AGED |
Entity Type | Organization |
Authorized Contact | S. JOHN WATSON CFO 207-772-5456 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36134) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2012-08-30 |