Whalio Doctors

NPI 1417727314

Legacy Residential Care LLC

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

Practice location

Address
20 Garfield St APT 11, Saco, ME 04072-2412
Phone
(646) 331-4597

Authorised official

Name
Julien Rukundo
Title
Ceo
Phone
(646) 331-4597

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1417727314
Entity type
Organization
NPI issued
3 Jan 2024
Record last updated
3 Jan 2024

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.