NPI 1720820079

Cononiah Residential Care LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility South Portland, ME

Practice location

Address: 3 Townhouse Dr, South Portland, ME 04106-1948
Phone: (207) 450-2063

Authorised official

Name: Narciso Sambo
Title: Ceo
Phone: (207) 450-2063

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1720820079
Entity type: Organization
NPI issued: 8 Jun 2024
Record last updated: 8 Jun 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.