NPI 1043086812
Lisungi Group Home LLC
Practice location
- Address
- 18 Everett St, Westbrook, ME 04092-3013
- Phone
- (207) 409-8837
Authorised official
- Name
- Jonathan Bobe
- Title
- Chief Executive Officer (ceo)
- Phone
- (207) 409-8837
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1043086812
- Entity type
- Organization
- NPI issued
- 1 Dec 2023
- Record last updated
- 8 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.