Organization
THE EMMA R FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA AVA HEBERT (CEO)
(207) 562-8098
Entity
Organization
Contact information
Practice address
577 COMMON RD, DIXFIELD, ME 04224-4427
(207) 562-8098
Mailing address
577 COMMON RD, DIXFIELD, ME 04224-4427
(207) 562-8098
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432369500
—
ME
05
—
432799600
—
ME
Enumeration date
05/05/2009
Last updated
05/05/2009
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