Organization
CHANGING TIDES RESIDENTAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L SKEATE CRMA, PSS (ADMINISTRATOR)
(207) 598-8668
Entity
Organization
Contact information
Practice address
57 E MAIN ST, HARRINGTON, ME 04643-3041
(207) 598-8668
(207) 483-8100
Mailing address
57 E MAIN ST, HARRINGTON, ME 04643-3041
(207) 598-8668
(207) 483-8100
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RCC2376
ME
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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