Organization
STILLWATER HEALTHCARE LLC
Active
Other names
Stillwater Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA PELKEY (CEO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
335 STILLWATER AVE, BANGOR, ME 04401-3944
(207) 947-1111
Mailing address
335 STILLWATER AVE, BANGOR, ME 04401-3944
(207) 947-1111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
36252
ME
261QP2000X
Physical Therapy Clinic/Center
36252
ME
261QX0100X
Occupational Medicine Clinic/Center
36252
ME
314000000X
Skilled Nursing Facility
Primary
36456
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119230000
—
ME
Enumeration date
11/07/2005
Last updated
09/02/2025
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