Organization
CARIBOU NURSING HOME, INC.
Active
Other names
Caribou Rehab and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP A CYR (ADMINISTRATOR)
(207) 498-3102
Entity
Organization
Contact information
Practice address
10 BERNADETTE ST, CARIBOU, ME 04736-3908
(207) 498-3102
(207) 498-3461
Mailing address
10 BERNADETTE ST, CARIBOU, ME 04736-3908
(207) 498-3102
(207) 498-3461
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
37946
ME
314000000X
Skilled Nursing Facility
37946
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105890000
—
ME
Enumeration date
08/01/2005
Last updated
02/20/2014
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