# MP LIVING CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewell Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700594355
- **Authorized official:** JOHNNY TSHIKULA ILUNGA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (134) 774-0526

## Contact information

- **Practice address:** 227 SEVENTH ST, AUBURN, ME 04210-6626
- **Practice address phone:** (347) 740-5264
- **Mailing address:** 227 SEVENTH ST, AUBURN, ME 04210-6626
- **Mailing address phone:** (347) 740-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 01/31/2023