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Organization

NORTHERN MAINE GENERAL

Active
Other names
Mercy Home
Organization subpart
No

Provider details

NPI number
Authorized official
REYNOLD RAYMOND (CHIEF EXECUTIVE OFFICER)
(207) 444-5152
Entity
Organization

Contact information

Practice address
3402 ARROOSTOOK RD, EAGLE LAKE, ME 04739-0310
(207) 444-5152
Mailing address
PO BOX 310, EAGLE LAKE, ME 04739-0310
(207) 444-5152
(207) 444-6099

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1999
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102850000
ME
Enumeration date
02/02/2006
Last updated
03/30/2012
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