Organization
TALL PINES HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN G CYR (VP FINANCE)
(207) 786-3554
Entity
Organization
Contact information
Practice address
34 MARTIN LN, BELFAST, ME 04915-6080
(207) 338-4117
(207) 338-1058
Mailing address
179 LISBON ST, 2ND FLOOR, LEWISTON, ME 04240-7248
(207) 786-3554
(207) 786-8507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2598
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2598
—
ME
Enumeration date
04/26/2012
Last updated
11/04/2013
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