Organization
FIDELITY RESIDENTIAL CARE LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN CLAUDE MUNYANEZA SR. (MANAGING DIRECTOR)
(312) 402-1521
Entity
Organization
Contact information
Practice address
56 SHERMAN ST APT 5, PORTLAND, ME 04101-2203
(312) 402-1521
Mailing address
56 SHERMAN ST APT 5, PORTLAND, ME 04101-2203
(312) 402-1521
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us