Changing Tides Residental Care Facility

NPI #1154796415 in Harrington, Maine

Provider Information

NPI Number
1154796415
Entity Type
Organization
Organization Name
Changing Tides Residental Care Facility
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Dec 11, 2015
Last Updated
Dec 11, 2015

Practice Location

Address
57 E MAIN ST
State
Maine
ZIP Code
04643-3041
Phone
(207) 598-8668

Authorized Official

Name
TARA L SKEATE, CRMA, PSS
Title
ADMINISTRATOR
Phone
(207) 598-8668

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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