Organization
HOLISTIC RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMBERT KABURUNDI (CEO)
(207) 409-3307
Entity
Organization
Contact information
Practice address
12 SWEET ST, SACO, ME 04072-2461
(207) 409-3307
Mailing address
12 SWEET ST, SACO, ME 04072-2461
(207) 409-3307
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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