Organization
DESTINY RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANICET BAKUNDA (MANAGING MEMBER)
(207) 317-7828
Entity
Organization
Contact information
Practice address
15 TERI CIR APT 82, WESTBROOK, ME 04092-3972
(207) 317-7828
Mailing address
15 TERI CIR APT 82, WESTBROOK, ME 04092-3972
(207) 317-7828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
About Stedi
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