# EASTER SEALS MAINE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306155643
- **Authorized official:** LARRY GAMMON (PRESIDENT & CEO)
- **Authorized official phone:** (603) 623-8863

## Contact information

- **Practice address:** 555 AUBURN ST, MANCHESTER, NH 03103-4803
- **Practice address phone:** (603) 623-8863
- **Mailing address:** 555 AUBURN ST, MANCHESTER, NH 03103-4803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 03/15/2018