Organization
AEGIS COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GIKWERERE MUTATSI (CEO)
(207) 405-9723
Entity
Organization
Contact information
Practice address
1104 PRAIRIEVIEW TER APT E, BROWNSBURG, IN 46112-7908
(207) 405-9723
Mailing address
1104 PRAIRIEVIEW TER APT E, BROWNSBURG, IN 46112-7908
(207) 405-9723
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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