Northbridge Avita of Stroudwater II LLC

NPI #1063979706 in Westbrook, Maine

Provider Information

NPI Number
1063979706
Entity Type
Organization
Organization Name
Northbridge Avita of Stroudwater II LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHBRIDGE AVITA OF STROUDWATER II LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Mar 1, 2019
Last Updated
Mar 1, 2019

Practice Location

Address
113 LANDING RD
State
Maine
ZIP Code
04092-4094
Phone
(207) 857-9007

Authorized Official

Name
WENDY NOWOKUNSKI
Title
PRESIDENT
Phone
(781) 238-4856

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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