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Organization

FRYEBURG HEALTH CARE CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID R. HICKS (OWNER)
(207) 786-0111
Entity
Organization

Contact information

Practice address
70 FAIRVIEW DR, FRYEBURG, ME 04037-1524
(207) 786-0111
(207) 783-5016
Mailing address
197 SUMMER ST, AUBURN, ME 04210-5125
(207) 786-0111
(207) 783-5016

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1942
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107350000
ME
Enumeration date
08/03/2005
Last updated
12/15/2009
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