Organization
SENTRY COMMONS LLC
Active
Other names
DURGIN PINES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL A BRADLEY (CHIEF FINANCIAL OFFICER)
(207) 782-4797
Entity
Organization
Contact information
Practice address
9 LEWIS RD, KITTERY, ME 03904-5410
(207) 439-9800
(207) 451-9104
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
—
132330000
—
ME
Enumeration date
11/04/2005
Last updated
09/09/2013
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