Provider Demographics
NPI:1720217078
Name:CATHRYN SEWELL
Entity Type:Organization
Organization Name:CATHRYN SEWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-896-5649
Mailing Address - Street 1:159 STATION RD APT 1F
Mailing Address - Street 2:
Mailing Address - City:NEW SWEDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04762-3546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:159 STATION RD APT 1F
Practice Address - Street 2:
Practice Address - City:NEW SWEDEN
Practice Address - State:ME
Practice Address - Zip Code:04762-3546
Practice Address - Country:US
Practice Address - Phone:207-896-5649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care