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Organization

LANE LIGHT ASSOCIATES, IN

Active
Parent organization
LANE LIGHT ASSOCIATES, IN
Other names
Amada Home Care of Southern Maine, Amada Senior Care of Southern Maine, Lane Light Associates IN Amada Home Care of Southern Maine
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANE LIGHT ASSOCIATES, IN
Authorized official
PETER LIGHT (CEO)
(207) 318-8669
Entity
Organization

Contact information

Practice address
18 OCEAN ST STE 3, SOUTH PORTLAND, ME 04106-2849
(207) 318-8669
(207) 536-4001
Mailing address
PO BOX 2426, SOUTH PORTLAND, ME 04116-2426
(207) 318-8669
(207) 536-4001

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
302F00000X
Exclusive Provider Organization
305R00000X
Preferred Provider Organization
305S00000X
Point of Service
3747P1801X
Personal Care Attendant
Primary
385H00000X
Respite Care

Other

Enumeration date
03/23/2023
Last updated
01/25/2024
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