Organization
EVERGREEN SENIOR HEALTHCARE OF MAINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANN SEBREY RN (CHIEF OPERATING OFFICER)
(207) 542-0770
Entity
Organization
Contact information
Practice address
108 ANTHONY AVE, AUGUSTA, ME 04330-8089
(207) 872-8992
(207) 430-3565
Mailing address
108 ANTHONY AVE, AUGUSTA, ME 04330-8089
(207) 872-8992
(207) 430-3565
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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