NPI 1417414152
Northbridge Avita Wells II LLC
Practice location
- Address
- 86 Sanford Rd, Wells, ME 04090-5532
- Phone
- (207) 646-3444
- Fax
- (207) 646-5444
Authorised official
- Name
- Wendy Nowokunski
- Title
- President
- Phone
- (781) 238-4856
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1417414152
- Entity type
- Organization
- NPI issued
- 1 Mar 2019
- Record last updated
- 1 Mar 2019
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.