NPI 1114703667

Heaven Community Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Lewiston, ME

Practice location

Address: 196 Park St APT 2r, Lewiston, ME 04240-7325
Phone: (207) 520-3741

Authorised official

Name: Geremias Mbumba Buidi
Title: Ceo
Phone: (207) 520-3741

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1114703667
Entity type: Organization
NPI issued: 31 Aug 2023
Record last updated: 31 Aug 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.