Organization
PROMISE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KAYIRANGA BENERUGABA (CEO)
(202) 981-2408
Entity
Organization
Contact information
Practice address
17 CHARLONATE DR, GRAY, ME 04039-9765
(202) 981-2408
Mailing address
17 CHARLONATE DR, GRAY, ME 04039-9765
(202) 981-2408
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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