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Organization
MP LIVING CARE LLC
Active
Organization
MP LIVING CARE LLC
Active
Other names
Homewell Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY TSHIKULA ILUNGA (CHIEF EXECUTIVE OFFICER)
(134) 774-0526
Entity
Organization
Contact information
Practice address
227 SEVENTH ST, AUBURN, ME 04210-6626
(347) 740-5264
Mailing address
227 SEVENTH ST, AUBURN, ME 04210-6626
(347) 740-5264
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/14/2022
Last updated
01/31/2023
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