NPI | 1912003328 |
---|---|
Doing Business As | EASTPORT MEMORIAL NURSING HOME |
Entity Type | Organization |
Authorized Contact | JOHN ERLEN WOOD Administrator 207-853-2531 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36544) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2022-07-27 |