Organization
DAYLIGHT RESIDENTIAL CARE LLC
Active
Other names
Daylight
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS BANOGE GISORE (PROGRAM MANAGER)
(682) 373-1189
Entity
Organization
Contact information
Practice address
629 MAIN ST, BANGOR, ME 04401-6848
(682) 373-1189
Mailing address
629 MAIN ST, BANGOR, ME 04401-6848
(682) 373-1189
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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