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Organization
LEGACY SWEET HOMES LLC
Active
Organization
LEGACY SWEET HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAMARA FARIA (MEMBER)
(774) 287-8834
Entity
Organization
Contact information
Practice address
170 LANE RD, GREENE, ME 04236-3111
(774) 287-8834
Mailing address
170 LANE RD, GREENE, ME 04236-3111
(774) 287-8834
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/11/2024
Last updated
08/10/2024
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