Organization
EASTPORT MEMORIAL HOSPITAL
Active
Other names
Eastport Memorial Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERLEN WOOD (ADMINISTRATOR)
(207) 853-2531
Entity
Organization
Contact information
Practice address
23 BOYNTON STREET, EASTPORT, ME 04628-1304
(207) 853-2531
(207) 853-7117
Mailing address
23 BOYNTON STREET, EASTPORT, ME 04628-1304
(207) 853-2531
(207) 853-7117
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
36544
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102120000
—
ME
Enumeration date
09/15/2006
Last updated
07/27/2022
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