Organization
MSAD 40
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELBY COCHRAN GAMMON RN (DISTRICT NURSE)
(207) 832-5566
Entity
Organization
Contact information
Practice address
320 MANKTOWN RD, WALDOBORO, ME 04572-5816
(207) 832-5566
(207) 832-5566
Mailing address
320 MANKTOWN RD, WALDOBORO, ME 04572-5816
(207) 832-5566
(207) 832-5566
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R036504
ME
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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