Organization
GREENWOOD NURSING CARE CENTER, INC
Active
Other names
GREENWOOD CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOISVERT (ADMINISTRATOR)
(207) 324-2273
Entity
Organization
Contact information
Practice address
1142 MAIN ST, SANFORD, ME 04073-3614
(207) 324-2273
(207) 490-2273
Mailing address
1142 MAIN ST, SANFORD, ME 04073-3614
(207) 324-2273
(207) 490-2273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
36135
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107690000
—
ME
Enumeration date
06/13/2005
Last updated
09/18/2012
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