Organization
SEAL ROCK ASSOCIATES LLC
Active
Other names
Seal Rock Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOWDEN (CEO)
(207) 874-2700
Entity
Organization
Contact information
Practice address
88 HARBOR DRIVE, SACO, ME 04072
(207) 283-3646
Mailing address
88 HARBOR DRIVE, SACO, ME 04072
(207) 283-3646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
36535
ME
261QP2000X
Physical Therapy Clinic/Center
36535
ME
261QX0100X
Occupational Medicine Clinic/Center
36535
ME
314000000X
Skilled Nursing Facility
Primary
36312
ME
Other
Enumeration date
11/15/2005
Last updated
09/13/2007
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