Organization
OPTIMUM RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DADIN KAMBU DSP (CEO)
(614) 680-0417
Entity
Organization
Contact information
Practice address
60 TALL PINES DR APT 5, LEWISTON, ME 04240-3266
(614) 680-0417
Mailing address
PO BOX 24, LEWISTON, ME 04243-0024
(614) 680-0417
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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