South Portland Nursing Home, INC
NPI #1679575773 in South Portland, Maine
Provider Information
- NPI Number
- 1679575773
- Entity Type
- Organization
- Organization Name
- South Portland Nursing Home, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 2, 2005
- Last Updated
- Jun 14, 2013
Practice Location
- Address
- 42 ANTHOINE ST
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-4403
- Phone
- (207) 799-8561
Authorized Official
- Name
- CINDY N SCOTT
- Title
- ADMINISTRATOR
- Phone
- (207) 799-8561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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