NPI 1154139830

Dynamic Residential Care, LLC

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

Practice location

Address: 19 Pin Oak Dr APT 1906, Scarborough, ME 04074-8264
Phone: (207) 518-3592

Authorised official

Name: John Dumba Bulenga
Title: Ceo
Phone: (207) 518-3592

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: 1154139830
Entity type: Organization
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

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.