Organization
HOSANAH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENODI LOLA LOHOMBOLI (CHIEF EXECUTIVE OFFICER)
(207) 618-3411
Entity
Organization
Contact information
Practice address
13 YORK RIDGE DRIVE, NORTH YARMOUTH, ME 04097
(207) 618-3411
Mailing address
13 YORK RIDGE DRIVE, NORTH YARMOUTH, ME 04097
(207) 618-3411
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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