St Josephs Rehabilitation & Residence
Nursing Facility/Intermediate Care Facility in Portland, ME. Organization (NPI-2).
NPI number1790776110
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1790776110
- Entity type
- Organization (NPI-2)
- Legal business name
- St Josephs Rehabilitation & Residence
- Organization subpart
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1908 | ME | Yes |
| 310400000X | Assisted Living Facility | 1908 | ME |
Practice location
1133 Washington AvePortland, ME 04103-3629
Phone 207-797-0600 · Fax 207-797-4168
Mailing address
1133 Washington AvePortland, ME 04103-3629
Phone 207-797-0600 · Fax 207-797-4168
Authorized official
Peggy Farrington
Executive Director
2077970600
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