NPI 1477199214
Charity Residential Care LLC
Practice location
- Address
- 159 Oxford St APT 101, Portland, ME 04101-3193
- Phone
- (207) 518-1556
- Mailing address
- PO Box 8531, Portland, ME 04104-8531
Authorised official
- Name
- Jolly Kampemana
- Title
- Ceo
- Phone
- (207) 518-1556
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1477199214
- Entity type
- Organization
- NPI issued
- 26 Nov 2019
- Record last updated
- 26 Nov 2019
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.