Organization
LAKEWOOD
Active
Other names
Northern Light Continuing Care, Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA R BIRD (BUSINESS OFFICE MANAGER)
(207) 873-5125
Entity
Organization
Contact information
Practice address
220 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 873-5125
(207) 861-9967
Mailing address
220 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 873-5125
(207) 861-9967
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
36552
ME
314000000X
Skilled Nursing Facility
Primary
36552
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117430000
—
ME
Enumeration date
10/12/2006
Last updated
07/22/2025
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