Healthcare Provider Details
I. General information
NPI: 1134895626
Provider Name (Legal Business Name): STRENGTH FOR TOMORROW LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 SCHOOL ST # 1785
SANFORD ME
04073-3062
US
IV. Provider business mailing address
30 SCHOOL ST # 1785
SANFORD ME
04073-3062
US
V. Phone/Fax
- Phone: 207-337-2987
- Fax: 207-401-7301
- Phone: 207-337-2987
- Fax: 207-401-7301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WENDY
M
SKAHAN
Title or Position: SOLE MEMBER
Credential: MS, OTR/L
Phone: 207-289-8669