Lucas Residential Services LLC

NPI #1952095069 in Gray, Maine

Provider Information

NPI Number: 1952095069
Entity Type: Organization
Organization Name: Lucas Residential Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 95 LONG HILL RD
City: Gray
State: Maine
ZIP Code: 04039-9300
Phone: (207) 239-9141

Authorized Official

Name: BRANCA PEMBE
Title: CEO
Phone: (207) 239-9141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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