Lighthouse Merrimack, LLC

NPI #1659681864 in Salem, Massachusetts

Provider Information

NPI Number
1659681864
Entity Type
Organization
Organization Name
Lighthouse Merrimack, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LIGHTHOUSE SENIOR CARE, LLC
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Oct 21, 2010
Last Updated
Oct 21, 2010

Practice Location

Address
121 LORING AVE
Address 2
SUITE 820
City
Salem
ZIP Code
01970-4461
Phone
(978) 745-8505

Authorized Official

Name
MR. RICHARD C BANE
Title
PRESIDENT/CEO
Phone
(978) 745-8505

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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