NPI 1295321487

Great Residential Home Care LLC

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

Practice location

Address: 238 Auburn St APT D37, Portland, ME 04103-2150
Phone: (207) 518-1535

Authorised official

Name: Joseph Bizimana
Title: Ceo
Phone: (207) 518-1535

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1295321487
Entity type: Organization
NPI issued: 12 Dec 2020
Record last updated: 12 Dec 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.