| NPI | 1760927792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PENNER Nurse Practitioner 207-844-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME AP091053) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |