Organization
HORIZONS LIVING AND REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL A. ROUSSEAU (PRESIDENT)
(207) 725-4071
Entity
Organization
Contact information
Practice address
29 MAURICE DR, BRUNSWICK, ME 04011-3270
(207) 725-7495
(207) 725-7195
Mailing address
29 MAURICE DR, BRUNSWICK, ME 04011-3270
(207) 725-7495
(207) 725-7195
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699073080
—
ME
Enumeration date
03/09/2011
Last updated
09/13/2022
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