Organization
REAL CARE MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE NZEYIMANA DSP (BOARD MEMBER)
(207) 615-7794
Entity
Organization
Contact information
Practice address
21 SCHOOL ST APT 304, PORTLAND, ME 04102-3939
(207) 615-7794
Mailing address
21 SCHOOL ST APT 304, PORTLAND, ME 04102-3939
(207) 615-7794
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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