Organization
ST JOSEPHS REHABILITATION & RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY FARRINGTON (EXECUTIVE DIRECTOR)
(207) 797-0600
Entity
Organization
Contact information
Practice address
1133 WASHINGTON AVE, PORTLAND, ME 04103-3629
(207) 797-0600
(207) 797-4168
Mailing address
1133 WASHINGTON AVE, PORTLAND, ME 04103-3629
(207) 797-0600
(207) 797-4168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1908
ME
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1908
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107380000
—
ME
05
—
107380001
—
ME
Enumeration date
11/03/2005
Last updated
08/19/2015
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