Whalio Doctors

NPI 1205528361

Bright Legacy Care LLC

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

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
Residential Treatment Facilities Taxonomy 320900000X

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.