City of Portland

NPI #1609917889 in Portland, Maine

Provider Information

NPI Number
1609917889
Entity Type
Organization
Organization Name
City of Portland
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 9, 2007
Last Updated
Jun 25, 2019

Practice Location

Address
1145 BRIGHTON AVE
State
Maine
ZIP Code
04102-1025
Phone
(207) 541-6500

Authorized Official

Name
MRS. JERALYN P LOGUE
Title
FINANCE ADMINISTRATOR
Phone
(207) 541-6544

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility
Skilled Nursing Facility

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