Organization
MOTHER MARY HOME CARE LLC
Active
Other names
Mother Mary Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR IRYAYO SR. (CEO)
(612) 205-1753
Entity
Organization
Contact information
Practice address
444 SAWYER ST APT 5, SOUTH PORTLAND, ME 04106-3944
(612) 205-1753
Mailing address
444 SAWYER ST APT 5, SOUTH PORTLAND, ME 04106-3944
(612) 205-1753
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up