Provider First Line Business Practice Location Address:
735 WILSON STREET
Provider Second Line Business Practice Location Address:
PENOBSCOT COMMUNITY HEALTH CENTER/ EXTENDED CARE SERVIC
Provider Business Practice Location Address City Name:
BREWER
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-992-2601
Provider Business Practice Location Address Fax Number:
207-989-2280
Provider Enumeration Date:
10/11/2006