Organization
LUMINHEART SUPPORT SERVICES LLC
Active
Organization
LUMINHEART SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON NTAMBARA DSP (CEO)
(207) 409-9061
Entity
Organization
Contact information
Practice address
2 WALKER ST APT 1203, WESTBROOK, ME 04092-2998
(207) 409-9061
Mailing address
2 WALKER ST APT 1203, WESTBROOK, ME 04092-2998
(207) 409-9061
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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