Organization
GORHAM HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL A BRADLEY (CHIEF FINANCIAL OFFICE)
(207) 782-4797
Entity
Organization
Contact information
Practice address
50 NEW PORTLAND RD, GORHAM, ME 04038-1542
(207) 839-5757
(207) 839-8263
Mailing address
250 GODDARD RD, SUITE A, LEWISTON, ME 04240-1000
(207) 782-4797
(207) 777-3996
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120430000
—
ME
05
—
120430001
—
ME
05
—
120430002
—
ME
Enumeration date
11/04/2005
Last updated
09/09/2013
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