NPI | 1811040348 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD HUNT Administrator 207-377-8184 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36609) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |