Organization
SHEPHERD CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUGU ALFRED YOBO (OWNER)
(207) 482-9531
Entity
Organization
Contact information
Practice address
75 BISHOP ST STE 17, PORTLAND, ME 04103-2614
(207) 352-8799
Mailing address
75 BISHOP ST STE 17, PORTLAND, ME 04103-2614
(207) 482-9531
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/03/2021
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