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Organization

NORTHBRIDGE AVITA OF STROUDWATER II LLC

Active
Parent organization
NORTHBRIDGE AVITA OF STROUDWATER II LLC
Other names
Avita of Stroudwater
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHBRIDGE AVITA OF STROUDWATER II LLC
Authorized official
WENDY NOWOKUNSKI (PRESIDENT)
(781) 238-4856
Entity
Organization

Contact information

Practice address
113 LANDING RD, WESTBROOK, ME 04092-4094
(207) 857-9007
(207) 857-9017
Mailing address
113 LANDING RD, WESTBROOK, ME 04092-4094
(207) 857-9007
(207) 857-9017

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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