Organization
POSITIVE RESIDENTIAL CARE, LLC
Active
Other names
Positive Residential Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAS S MANYWA SR. (OPERATION DIRECTOR)
(207) 518-0370
Entity
Organization
Contact information
Practice address
586 WESTBROOK ST UNIT 310, SOUTH PORTLAND, ME 04106-1403
(207) 518-0370
Mailing address
586 WESTBROOK ST UNIT 310, SOUTH PORTLAND, ME 04106-1403
(207) 518-0370
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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