Organization
GRACE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LORO (CEO)
(207) 650-8902
Entity
Organization
Contact information
Practice address
86 EUCLID AVE, PORTLAND, ME 04103-1240
(207) 650-8902
Mailing address
86 EUCLID AVE, PORTLAND, ME 04103-1240
(207) 650-8902
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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