Provider Demographics
NPI:1831778604
Name:LUKAS FOUNDATION
Entity type:Organization
Organization Name:LUKAS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-878-4796
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:NH
Mailing Address - Zip Code:03084-0137
Mailing Address - Country:US
Mailing Address - Phone:603-878-4796
Mailing Address - Fax:603-878-4111
Practice Address - Street 1:63 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:NH
Practice Address - Zip Code:03084-4425
Practice Address - Country:US
Practice Address - Phone:603-878-4796
Practice Address - Fax:603-878-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility