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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