NPI 1265033088

Palms Residential Care

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

Practice location

Address: 1500 Forest Ave APT 13d, Portland, ME 04103-1846
Phone: (978) 620-8376

Authorised official

Name: Patrick Kifokie Mulonda
Title: Chief Executive Officer
Phone: (978) 620-8376

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1265033088
Entity type: Organization
NPI issued: 6 Nov 2020
Record last updated: 6 Nov 2020

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.