Organization
EDGECO LLC
Active
Other names
Heaven & Earth Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA EDGECOMB (OWNER)
(207) 893-0033
Entity
Organization
Contact information
Practice address
108 TANDBURG TRAIL, WINDHAM, ME 04062
(207) 893-0033
Mailing address
PO BOX 2048, WINDHAM, ME 04062-2048
(207) 893-0033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2289
ME
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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