# AEGIS COMMUNITY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093558249
- **Authorized official:** ERIC GIKWERERE MUTATSI (CEO)
- **Authorized official phone:** (207) 405-9723

## Contact information

- **Practice address:** 1104 PRAIRIEVIEW TER APT E, BROWNSBURG, IN 46112-7908
- **Practice address phone:** (207) 405-9723
- **Mailing address:** 1104 PRAIRIEVIEW TER APT E, BROWNSBURG, IN 46112-7908
- **Mailing address phone:** (207) 405-9723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024