Organization
COMPASSION LIVING RESIDENTIAL CARE, LLC
Active
Other names
Compassion Living Residential Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLOVIS NIYIZIGENA SR. (CEO)
(502) 500-9119
Entity
Organization
Contact information
Practice address
876 RIVER RD, WINDHAM, ME 04062-4761
(502) 500-9119
Mailing address
876 RIVER RD, WINDHAM, ME 04062-4761
(502) 500-9119
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
06/28/2024
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