Healthcare Provider Details

I. General information

NPI: 1417915216
Provider Name (Legal Business Name): SACO RIVER SENIOR SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 MAIN ST
WATERBORO ME
04087-3013
US

IV. Provider business mailing address

PO BOX 69 802 MAIN STREET
WATERBORO ME
04087-0069
US

V. Phone/Fax

Practice location:
  • Phone: 207-247-9000
  • Fax: 207-247-6109
Mailing address:
  • Phone: 207-247-9000
  • Fax: 207-247-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02741
License Number StateME

VIII. Authorized Official

Name: MRS. ELIZABETH SJULANDER
Title or Position: CFO
Credential: RN BSN
Phone: 207-247-9000