Organization
ROSS MANOR ASSOCIATES
Active
Other names
Ross Manor
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOWDEN (CEO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 874-2700
Mailing address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 874-2700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1988
ME
261QP2000X
Physical Therapy Clinic/Center
1988
ME
261QX0100X
Occupational Medicine Clinic/Center
1988
ME
314000000X
Skilled Nursing Facility
Primary
2099
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120640000
—
ME
05
—
120640001
—
ME
Enumeration date
10/04/2005
Last updated
05/19/2009
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