| The Emma R Foundation Llc | |
|
577 Common Rd Dixfield ME 04224-4427 | |
| (207) 562-8098 | |
| Not Available |
| Full Name | The Emma R Foundation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 577 Common Rd, Dixfield, Maine |
| Authorized Official Name and Position | Sandra Ava Hebert (CEO) |
| Authorized Official Contact | 2075628098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Emma R Foundation Llc 577 Common Rd Dixfield ME 04224-4427 Ph: (207) 562-8098 | The Emma R Foundation Llc 577 Common Rd Dixfield ME 04224-4427 Ph: (207) 562-8098 |
| NPI Number | 1518191691 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518191691 | NPI | - | NPPES |
| 432369500 | Medicaid | ME | |
| 432799600 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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