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Organization
EAGLE RESIDENTIAL SERVICES LLC
Active
Organization
EAGLE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN MUHUNDE (MANAGING MEMBER)
(207) 671-7635
Entity
Organization
Contact information
Practice address
246 AUBURN ST APT 39, PORTLAND, ME 04103-2155
(207) 671-7635
Mailing address
246 AUBURN ST APT 39, PORTLAND, ME 04103-2155
(207) 671-7635
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
01/30/2022
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