Organization
GOLDEN LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUERTHE BIGIRIMANA DSP (CEO)
(207) 408-1214
Entity
Organization
Contact information
Practice address
18 PIN OAK DR APT 1807, SCARBOROUGH, ME 04074-8256
(207) 448-1214
Mailing address
18 PIN OAK DR APT 1807, SCARBOROUGH, ME 04074-8256
(207) 448-1214
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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