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Organization
CHILOH RESIDENTIAL CARE LLC
Active
Organization
CHILOH RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHOZA BIZUMUREMYI (OPERATIONS MANAGER)
(682) 373-1189
Entity
Organization
Contact information
Practice address
269 CENTER ST APT 2, BANGOR, ME 04401-3894
(682) 373-1189
Mailing address
269 CENTER ST APT 2, BANGOR, ME 04401-3894
(682) 373-1189
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
04/19/2023
Last updated
04/21/2025
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