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Coastal Manor Corporation
Nursing Facility/Intermediate Care Facility in Yarmouth, Maine
NPI 1811990757

Coastal Manor Corporation is a Nursing Facility/Intermediate Care Facility based in Yarmouth, ME. Coastal Manor Corporation practices in Yarmouth, ME. The NPI Number for Coastal Manor Corporation is 1811990757 and holds a License No. 36175 (Maine).

The current practice location address for Coastal Manor Corporation is 20 W Main St, Yarmouth, ME and can be reached out via phone at 207-846-5013 and via fax at 207-846-2252.

Location: 20 W Main St, Yarmouth, ME, 04096-8412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811990757
Provider Name
Coastal Manor Corporation
Credential
Provider Entity Type
Organization
Address
20 W Main St, Yarmouth, ME, 04096-8412
Phone Number
207-846-5013
Fax Number
207-846-2252
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141P10285 01 ME MEDICARE PART A
205157 01 ME MEDICARE PTAN
040823 01 ME ANTHEM BC
115010000 05 ME
institution
Provider Business Practice Location Address Details
Address
20 W Main St
City
Yarmouth
State
Maine
Zip
04096-8412
Phone Number
207-846-5013
Fax Number
207-846-2252
person
Provider Business Mailing Address Details
Address
20 W Main St
City
Yarmouth
State
Maine
Zip
04096-8412
Phone Number
207-846-5013
Fax Number
207-846-2252
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
36175 (Maine)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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