Organization
THE LAMP ALZHEIMER'S RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN C KARKOS (ADMINSTRATOR)
(207) 353-4318
Entity
Organization
Contact information
Practice address
64 LISBON ST, LISBON, ME 04250-6017
(207) 353-4318
(207) 353-8704
Mailing address
193 RIDGE RD, LISBON FALLS, ME 04252-6122
(207) 353-4634
(207) 353-8704
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
ALLS1644
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103180000
—
ME
Enumeration date
10/27/2006
Last updated
05/08/2009
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