NPI 1134879125

Impactful Residential Care, LLC

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

Practice location

Address: 27 Seavey St, Westbrook, ME 04092-4336
Phone: (571) 278-6103
Mailing address: PO Box 8057, Portland, ME 04104-8057

Authorised official

Name: Assumpta Mukabutera
Title: Ceo
Phone: (207) 310-3101

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maine →

Registry record

NPI: 1134879125
Entity type: Organization
NPI issued: 24 Mar 2022
Record last updated: 24 Mar 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.