Organization
CEDAR RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA NOEL LOWE (PTA)
(207) 474-9686
Entity
Organization
Contact information
Practice address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Mailing address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PA3566
ME
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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