SOUTH PORTLAND NURSING HOME, INC
Skilled Nursing Facility
South Portland, Maine
Provider NPI: 1679575773
Organization Information:Organization Name: SOUTH PORTLAND NURSING HOME, INC
Practice Location:
42 ANTHOINE ST SOUTH PORTLAND, ME 04106 US
Tel: 207-799-8561 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
42 ANTHOINE ST SOUTH PORTLAND, ME 04106 US
Tel: 207-799-8561 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ME | 36127 |