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Organization
CONONIAH RESIDENTIAL CARE LLC
Active
Organization
CONONIAH RESIDENTIAL CARE LLC
Active
Other names
Cononiah Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NARCISO SAMBO SR. (CEO)
(207) 450-2063
Entity
Organization
Contact information
Practice address
3 TOWNHOUSE DR, SOUTH PORTLAND, ME 04106-1948
(207) 450-2063
Mailing address
3 TOWNHOUSE DR, SOUTH PORTLAND, ME 04106-1948
(207) 450-2063
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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