Provider Demographics
NPI:1134398951
Name:CAMDEN AREA DISTRICT NURSING ASSOCIATION
Entity type:Organization
Organization Name:CAMDEN AREA DISTRICT NURSING ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LYDON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-301-6272
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-0547
Mailing Address - Country:US
Mailing Address - Phone:207-301-6272
Mailing Address - Fax:207-301-6110
Practice Address - Street 1:30 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-2061
Practice Address - Country:US
Practice Address - Phone:207-230-6272
Practice Address - Fax:207-230-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM5066Medicare PIN