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ST JOSEPHS REHABILITATION & RESIDENCE

Assisted Living Facility

Portland, Maine

Provider NPI: 1790776110

Organization Information:
Organization Name:  ST JOSEPHS REHABILITATION & RESIDENCE


Practice Location:
1133 WASHINGTON AVE  PORTLAND, ME 04103 US
Tel: 207-797-0600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
ME1908
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
ME1908

Other Provider Identifiers:

IssuerNumberStateType
107380001ME05
107380000ME05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS ME - Page 1



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