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FREEPORT CONVALESCENT CENTER INC

Ambulatory Health Care Facilities Clinic/Center Physical Therapy

Provider NPI: 1427026657

Organization Information:
Organization Name:  FREEPORT CONVALESCENT CENTER INC
Organization is not Subpart
Authorized Official:  KENNETH  BOWDEN  CEO  207-874-2700

Practice Location:
6 OLD COUNTY RD  FREEPORT, ME 04032-6231 US
Tel: 207-865-4782  Fax: 207-865-1308

Business Mailing Address:
6 OLD COUNTY RD  FREEPORT, ME 04032-6231 US
Tel: 207-865-4782  Fax: 207-865-1308

NPI Information:
NPI: 1427026657
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QP2000XAmbulatory Health Care Facilities
Clinic/Center
Physical Therapy
ME2005
N261QX0100XAmbulatory Health Care Facilities
Clinic/Center
ME2005
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
ME2005
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
ME2103
N310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
ME2103
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
ME2005

Other Provider Identifiers:

IssuerNumberStateType
120030000ME05
115110000ME05
120030001ME05



American Medical Association 2012 taxonomy code information

Code: 314000000X

Type:

Classification:



Definition:



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