Organization
MP LIVING CARE LLC
Active
Other names
Homewell Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY TSHIKULA ILUNGA (CHIEF EXECUTIVE OFFICER)
(134) 774-0526
Entity
Organization
Contact information
Practice address
227 SEVENTH ST, AUBURN, ME 04210-6626
(347) 740-5264
Mailing address
227 SEVENTH ST, AUBURN, ME 04210-6626
(347) 740-5264
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
01/31/2023
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