Provider Demographics
NPI:1699211805
Name:GRANT ENTERPRISES
Entity Type:Organization
Organization Name:GRANT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-951-6800
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:ME
Mailing Address - Zip Code:04427-0015
Mailing Address - Country:US
Mailing Address - Phone:207-951-6800
Mailing Address - Fax:
Practice Address - Street 1:15 VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:ME
Practice Address - Zip Code:04427-0015
Practice Address - Country:US
Practice Address - Phone:207-951-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility