| NPI | 1962499053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BOWDEN CEO 207-874-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 2099) |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine (Licence: ME 1988) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: ME 1988) | |
| 235Z00000X Speech-Language Pathologist (Licence: ME 1988) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2009-05-19 |