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Organization

ARC-VISTACARE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THIERRY IRAMBONA (MANAGER)
(207) 754-4078
Entity
Organization

Contact information

Practice address
12366 SWEETBOUGH CT, NORTH POTOMAC, MD 20878-4746
(207) 754-4078
Mailing address
12366 SWEETBOUGH CT, NORTH POTOMAC, MD 20878-4746
(207) 754-4078

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary

Other

Enumeration date
03/17/2026
Last updated
03/17/2026
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