NPI 1063093904
Eagle Residential Services LLC
Practice location
- Address
- 246 Auburn St APT 39, Portland, ME 04103-2155
- Phone
- (207) 671-7635
Authorised official
- Name
- Christian Muhunde
- Title
- Managing Member
- Phone
- (207) 671-7635
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1063093904
- Entity type
- Organization
- NPI issued
- 20 Apr 2021
- Record last updated
- 30 Jan 2022
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.