| NPI | 1871614859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BROWN Manager 207-532-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ME 2054) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-08-15 |