Organization
BLISS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMAN MANDE (CEO)
(817) 343-1881
Entity
Organization
Contact information
Practice address
3 COBALT CT, WINDHAM, ME 04062-4691
(207) 272-6558
Mailing address
3 COBALT CT, WINDHAM, ME 04062-4691
(207) 272-6558
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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