Individual
HERVE RUHEMBURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
196 MEADOW CROSS RD, TOPSHAM, ME 04086-6063
(207) 400-2376
Mailing address
PO BOX 876, BRUNSWICK, ME 04011-0876
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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