Organization
CONVENIENT RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MUNYENTWARI DSP (CEO)
(207) 766-8371
Entity
Organization
Contact information
Practice address
11 MACADAMIA LN, LEWISTON, ME 04240-1816
(207) 766-8371
Mailing address
11 MACADAMIA LN, LEWISTON, ME 04240-1816
(207) 766-8371
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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