Organization
DYNAMIC RESIDENTIAL CARE, LLC
Active
Other names
Dynamic Residential Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUMBA BULENGA SR. (CEO)
(207) 518-3592
Entity
Organization
Contact information
Practice address
19 PIN OAK DR APT 1906, SCARBOROUGH, ME 04074-8264
(207) 518-3592
Mailing address
19 PIN OAK DR APT 1906, SCARBOROUGH, ME 04074-8264
(207) 518-3592
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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