Organization
SEASIDE HEALTHCARE LLC
Active
Other names
Seaside Nursing & Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA PELKEY (CFO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
850 BAXTER BLVD, PORTLAND, ME 04103-4901
(207) 774-7878
Mailing address
850 BAXTER BLVD, PORTLAND, ME 04103-4901
(207) 774-7878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2009
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130930001
—
ME
Enumeration date
05/19/2009
Last updated
05/20/2009
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