Organization
MAINE VETERANS' HOME
Active
Other names
Maine Veterans' Homes
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BROOKS (CFO)
(207) 622-0075
Entity
Organization
Contact information
Practice address
310 CONY RD, AUGUSTA, ME 04330-0513
(207) 622-2454
Mailing address
310 CONY RD, AUGUSTA, ME 04330-0513
(207) 622-2454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1907
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111920000
—
ME
Enumeration date
02/16/2006
Last updated
05/01/2015
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