Organization
AVITA STROUDWATER, LLC
Active
Other names
Avita of Stroudwater
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN BERTRAM (VICE PRESIDENT OF OPERATIONS)
(781) 272-2424
Entity
Organization
Contact information
Practice address
320 SPRING STREET, WESTBROOK, ME 04092
(207) 857-9007
(207) 857-9017
Mailing address
71 3RD AVE, BURLINGTON, MA 01803-4430
(781) 272-2424
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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