Organization
PEACE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLAUME NTWARI ISHIMWE (ADMINISTRATOR)
(682) 558-1807
Entity
Organization
Contact information
Practice address
101 SUMMIT TER APT 7, SOUTH PORTLAND, ME 04106-2206
(682) 558-1807
Mailing address
101 SUMMIT TER APT 7, SOUTH PORTLAND, ME 04106-2206
(682) 558-1807
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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