Organization
BOUNDLESS HORIZONS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FILIPE KEMBONZA LEMA (CEO)
(207) 405-9222
Entity
Organization
Contact information
Practice address
199 FOREST ST, WESTBROOK, ME 04092-4202
(207) 405-9222
Mailing address
2 CHURCH ST STE 1, WESTBROOK, ME 04092-3466
(207) 405-9222
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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