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Individual

MANOACH BIZUMUREMYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
92 COLUMBIA ST APT 301, BANGOR, ME 04401-6338
(207) 888-7646
Mailing address
PMB 364, 499 BROADWAY, BANGOR, ME 04401
(207) 888-7646

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
310400000X
Assisted Living Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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