Organization
UBUZIMA RESIDENTAIL CARE
Active
Other names
Ubuzima Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
UMUTONI ALICE I (CEO)
(512) 619-9872
Entity
Organization
Contact information
Practice address
183 EAST AVE, LEWISTON, ME 04240-5513
(512) 619-9872
Mailing address
183 EAST AVE, LEWISTON, ME 04240-5513
(512) 619-9872
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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