Organization
FREEPORT NURSING HOME, 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
3 EAST ST, FREEPORT, ME 04032-1405
(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
36218
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104840000
—
ME
Enumeration date
08/03/2005
Last updated
02/09/2015
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