Organization
LIGHT HOPE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RWIRANGIRA (EMPLOYEE)
(904) 999-7430
Entity
Organization
Contact information
Practice address
326 AUBURN ST APT 24, PORTLAND, ME 04103-6019
(904) 699-2509
Mailing address
326 AUBURN ST APT 24, PORTLAND, ME 04103-6019
(904) 699-2509
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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