NPI | 1811093909 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY FORD Owner 603-667-6743 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36368) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 36368) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2021-08-20 |