NPI 1205528361
Bright Legacy Care LLC
Practice location
- Address
- 17 Carleton St Unit 203, Portland, ME 04102-3469
- Phone
- (207) 239-6132
Authorised official
- Name
- Mukamuzima Aimee Ingabire
- Title
- Ceo
- Phone
- (207) 239-6132
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1205528361
- Entity type
- Organization
- NPI issued
- 25 May 2023
- Record last updated
- 29 May 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.