Organization
KATAHDIN HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN BOWDEN (CEO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
22 WALNUT ST, MILLINOCKET, ME 04462-2128
(207) 723-4711
Mailing address
22 WALNUT ST, MILLINOCKET, ME 04462-2128
(207) 723-4711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
37158
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435027000
—
ME
Enumeration date
09/08/2009
Last updated
05/05/2010
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