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Organization
DAVIS LONG TERM CARE GROUP INC
Active
Organization
DAVIS LONG TERM CARE GROUP INC
Active
Other names
The Lamp Memory Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CLOUTIER (PRESIDENT)
(207) 594-4990
Entity
Organization
Contact information
Practice address
64 LISBON ST, LISBON, ME 04250-6017
(207) 353-4318
Mailing address
18 TALBOT AVE, ROCKLAND, ME 04841-2862
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
METPID005598
—
ME
Enumeration date
08/18/2014
Last updated
09/27/2017
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