Organization
HEAVEN COMMUNITY SERVICES LLC
Active
Other names
Heaven Community Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEREMIAS MBUMBA BUIDI SR. (CEO)
(207) 520-3741
Entity
Organization
Contact information
Practice address
196 PARK ST APT 2R, LEWISTON, ME 04240-7325
(207) 520-3741
Mailing address
196 PARK ST APT 2R, LEWISTON, ME 04240-7325
(207) 520-3741
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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