| NPI | 1811990757 |
|---|---|
| Doing Business As | COASTAL MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | OREY F GADWAY Administrator 207-846-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 36175) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-07-21 |