Organization
CONONIAH RESIDENTIAL CARE LLC
Active
Other names
Cononiah Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NARCISO SAMBO SR. (CEO)
(207) 450-2063
Entity
Organization
Contact information
Practice address
3 TOWNHOUSE DR, SOUTH PORTLAND, ME 04106-1948
(207) 450-2063
Mailing address
3 TOWNHOUSE DR, SOUTH PORTLAND, ME 04106-1948
(207) 450-2063
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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