NPI 1629664107
Noble Residential Care LLC
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
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.