Organization
AZEL RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE MUNYAMAHORO DSP (CEO)
(207) 409-4176
Entity
Organization
Contact information
Practice address
21 WALKER ST APT C, WESTBROOK, ME 04092-2961
(207) 409-4176
Mailing address
21 WALKER ST APT C, WESTBROOK, ME 04092-2961
(207) 409-4176
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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