Organization
GRACEFUL RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGIDE SIMBARE MBA-HCM (CEO)
(207) 618-0881
Entity
Organization
Contact information
Practice address
10 BURNHAM ST APT 5, SOUTH PORTLAND, ME 04106-4245
(207) 618-0881
Mailing address
10 BURNHAM ST APT 5, SOUTH PORTLAND, ME 04106-4245
(207) 618-0881
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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