Organization
BVP RESIDENTIAL CARE, LLC
Active
Other names
BVP Residential Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK RUNEZERWA SR. (MANAGING DIRECTOR)
(210) 904-5496
Entity
Organization
Contact information
Practice address
143 GRANT ST APT 20, PORTLAND, ME 04101-2114
(210) 904-5496
Mailing address
143 GRANT ST APT 20, PORTLAND, ME 04101-2114
(210) 904-5496
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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