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Contact Information

EVERGREEN SENIOR HEALTHCARE OF MAINE, LLC
108 ANTHONY AVE
AUGUSTA, ME04330-8089
 Phone: 207-872-8992
 Fax: 207-430-3565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EVERGREEN SENIOR HEALTHCARE OF MAINE, LLC

NPI Number 1841039583
LBN Legal business name EVERGREEN SENIOR HEALTHCARE OF MAINE, LLC
Authorized official LEANN SEBREY - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2024
Last updated 05/22/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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