Organization
DIGNITY RESIDENTIAL CARE LLC
Active
Other names
Dignity Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROVIDENCE MBABAZI SR. (CEO)
(617) 347-0448
Entity
Organization
Contact information
Practice address
712 WESTBROOK ST APT 4, SOUTH PORTLAND, ME 04106-1993
(617) 347-0448
Mailing address
712 WESTBROOK ST APT 4, SOUTH PORTLAND, ME 04106-1993
(617) 347-0448
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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