Organization
LEGACY RESIDENTIAL CARE LLC
Active
Other names
Legacy Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIEN RUKUNDO SR. (CEO)
(646) 331-4597
Entity
Organization
Contact information
Practice address
20 GARFIELD ST APT 11, SACO, ME 04072-2412
(646) 331-4597
Mailing address
20 GARFIELD ST APT 11, SACO, ME 04072-2412
(646) 331-4597
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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