Avita Stroudwater, LLC

NPI #1760816276 in Westbrook, Maine

Provider Information

NPI Number
1760816276
Entity Type
Organization
Organization Name
Avita Stroudwater, LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Sep 3, 2013
Last Updated
Sep 3, 2013

Practice Location

Address
320 SPRING STREET
State
Maine
ZIP Code
04092
Phone
(207) 857-9007

Authorized Official

Name
MR. SHAWN BERTRAM
Title
VICE PRESIDENT OF OPERATIONS
Phone
(781) 272-2424

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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