NPI 1679299093
Riverside Ffk LLC
Practice location
- Address
- 53 Tremont St, South Portland, ME 04106-6131
- Phone
- (207) 233-2274
- Mailing address
- 117 Sunset Ave APT 1, South Portland, ME 04106-6156
Authorised official
- Name
- Olanrewaju Fashina
- Title
- Partner 1
- Phone
- (207) 233-2274
Registered specialties (2)
Behavior Analyst
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1679299093
- Entity type
- Organization
- NPI issued
- 17 Oct 2022
- Record last updated
- 17 Oct 2022
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.