Whalio Doctors

NPI 1255048542

King and Lord Care 'Klc' LLC

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

Practice location

Address
501 Westbrook Street 209b, South Portland, ME 04106
Phone
(207) 321-1605

Authorised official

Name
Tresor Elijah Beya
Title
Chief Executive Officer Ceo
Phone
(207) 321-1605

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1255048542
Entity type
Organization
NPI issued
4 Nov 2022
Record last updated
4 Nov 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.