Organization
EXCELLENT CARE & SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KABWE WA NGOY MWILAMBWE (CEO)
(207) 601-2892
Entity
Organization
Contact information
Practice address
111 THIRD ST APT 3, AUBURN, ME 04210-6789
(207) 601-2892
Mailing address
111 THIRD ST APT 3, AUBURN, ME 04210-6789
(207) 601-2892
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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