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Organization
KING AND LORD CARE 'KLC' LLC
Active
Organization
KING AND LORD CARE 'KLC' LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRESOR ELIJAH BEYA (CHIEF EXECUTIVE OFFICER CEO)
(207) 321-1605
Entity
Organization
Contact information
Practice address
501 WESTBROOK STREET 209B, SOUTH PORTLAND, ME 04106
(207) 321-1605
Mailing address
501 WESTBROOK STREET 209B, SOUTH PORTLAND, ME 04106
(207) 321-1605
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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