# ACT RESIDENTIAL CARE

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

## Provider details

- **NPI number:** 1265939748
- **Authorized official:** RAPHAEL KABATA NGAYKALA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (201) 409-2638

## Contact information

- **Practice address:** 63 FREDERIC ST APT 202, PORTLAND, ME 04102-2762
- **Practice address phone:** (207) 409-2638
- **Mailing address:** 63 FREDERIC ST APT 202, PORTLAND, ME 04102-2762
- **Mailing address phone:** (207) 409-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 08/28/2023