Organization
MAINE VETERANS' HOME
Active
Other names
Maine Veterans' Homes
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BROOKS (CFO)
(207) 622-0075
Entity
Organization
Contact information
Practice address
163 VAN BUREN RD, SUITE 2, CARIBOU, ME 04736-3567
(207) 498-6074
Mailing address
163 VAN BUREN RD, SUITE 2, CARIBOU, ME 04736-3567
(207) 498-6074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1995
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111920003
—
ME
Enumeration date
02/17/2006
Last updated
06/30/2021
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