Organization
ASAPH RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON G MUGIRAKAMARO (CEO)
(425) 324-4804
Entity
Organization
Contact information
Practice address
89 DEVEREAUX CIR, SOUTH PORTLAND, ME 04106-1814
(442) 532-4480
Mailing address
89 DEVEREAUX CIR, SOUTH PORTLAND, ME 04106-1814
(442) 532-4480
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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