Organization
RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL A LA GRANGE DC (OWNER)
(207) 631-1057
Entity
Organization
Contact information
Practice address
227 MAIN ST, OLD TOWN, ME 04468
(207) 827-5951
(720) 368-0639
Mailing address
227 MAIN ST, OLD TOWN, ME 04468-1470
(207) 827-5951
(720) 368-0639
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CR2220
ME
Other
Enumeration date
03/07/2018
Last updated
07/03/2018
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