NPI 1366743262
Msad 40
Practice location
- Address
- 320 Manktown Rd, Waldoboro, ME 04572-5816
- Phone
- (207) 832-5566
- Fax
- (207) 832-5566
Authorised official
- Name
- Shelby Cochran Gammon
- Title
- District Nurse
- Phone
- (207) 832-5566
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1366743262
- Entity type
- Organization
- NPI issued
- 9 Nov 2010
- Record last updated
- 9 Nov 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.