Freeport Convalescent Center Inc
May also be knows as Hawthorne House
Skilled Nursing Facility in Freeport, ME(View on Map)
Legal Business Name
Freeport Convalescent Center Inc
Also Known As
Hawthorne House
NPI Number
1427026657
NPI Type
Organization
Enumeration Date
03/14/2006
Specialties
(Taxonomies)Name
Code
314000000X
310400000X
310500000X
261QX0100X
261QP2000X
235Z00000X
Primary Taxonomy
Yes
No
No
No
No
No
Licenses
State
Maine
Maine
License Number
2005
2103
Contact
Information
Purpose
Mailing
Location
Address
6 OLD COUNTY RD
6 OLD COUNTY RD
City
Freeport
Freeport
State
ME
ME
Postal Code
04032-6231
04032-6231
Country
US
US
Telephone Number
(207) 865-4782
(207) 865-4782
Authorized Official
Name
Kenneth Bowden
Title or Position
CEO
Telephone Number
(207) 874-2700
Identifiers
Identifier
120030000
120030001
115110000
Identifier State
ME
ME
ME
Identifier Issuer
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/07/2013