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Organization

EAGLE RESIDENTIAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTIAN MUHUNDE (MANAGING MEMBER)
(207) 671-7635
Entity
Organization

Contact information

Practice address
246 AUBURN ST APT 39, PORTLAND, ME 04103-2155
(207) 671-7635
Mailing address
246 AUBURN ST APT 39, PORTLAND, ME 04103-2155
(207) 671-7635

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/20/2021
Last updated
01/30/2022
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