Organization
FAMILY COMMUNITY CARE LLC
Active
Other names
Family Community Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MODEST MANASE BITTOCK SR. (CEO)
(859) 285-3740
Entity
Organization
Contact information
Practice address
696 WESTBROOK ST APT 4G, SOUTH PORTLAND, ME 04106-1969
(859) 285-3740
Mailing address
696 WESTBROOK ST APT 4G, SOUTH PORTLAND, ME 04106-1969
(859) 285-3740
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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