NPI 1417727314
Legacy Residential Care LLC
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
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.