Organization
EVERGREEN SENIOR HEALTHCARE OF MAINE, LLC
Active
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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