Organization
LILY WATERS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T AKINTUNDE (ADMINISTRATOR)
(612) 806-6938
Entity
Organization
Contact information
Practice address
650 MAIN ST STE 207, SOUTH PORTLAND, ME 04106-5448
(207) 904-0770
Mailing address
650 MAIN ST STE 207, SOUTH PORTLAND, ME 04106-5448
(207) 904-0770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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