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Organization
BROCK LAMP LLC
Active
Organization
BROCK LAMP LLC
Active
Other names
LAMP MEMORY CARE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WESBROCK (CHIEF EXECUTIVE OFFICER)
(207) 691-5059
Entity
Organization
Contact information
Practice address
64 LISBON ST, LISBON, ME 04250-6017
(207) 353-4318
Mailing address
64 LISBON ST, LISBON, ME 04250-6017
(207) 353-4318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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