| NPI | 1962562272 |
|---|---|
| Doing Business As | RUSSELL PARK MANOR |
| Entity Type | Organization |
| Authorized Contact | GLEN G CYR VP Of Finance 207-786-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 2065) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |