Organization
CEDARS NURSING CARE CENTER INC
Active
Other names
Jewish Home for Aged
Organization subpart
No
Provider details
NPI number
Authorized official
MR. S. JOHN WATSON (CFO)
(207) 772-5456
Entity
Organization
Contact information
Practice address
630 OCEAN AVE, PORTLAND, ME 04103-2704
(207) 772-5456
Mailing address
PO BOX 466, PORTLAND, ME 04112-0466
(207) 772-5456
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
36134
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101830000
—
ME
Enumeration date
07/28/2005
Last updated
08/30/2012
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