Whalio Doctors

NPI 1629664107

Noble Residential Care LLC

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

Practice location

Address
33 Glendale Cir, Scarborough, ME 04074-9146
Phone
(207) 252-9094

Authorised official

Name
Jabo Mugabe
Title
Ceo
Phone
(207) 252-9094

Registered specialties

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

Registry record

NPI
1629664107
Entity type
Organization
NPI issued
18 Dec 2020
Record last updated
18 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.