NPI 1336238039
Lakewood
Practice location
- Address
- 220 Kennedy Memorial Dr, Waterville, ME 04901-4526
- Phone
- (207) 873-5125
- Fax
- (207) 861-9967
Authorised official
- Name
- Patricia R Bird
- Title
- Business Office Manager
- Phone
- (207) 873-5125
Registered specialties (2)
Skilled Nursing Facility
Primary
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1336238039
- Entity type
- Organization
- NPI issued
- 12 Oct 2006
- Record last updated
- 22 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.