Whalio Doctors

NPI 1790628352

Evening Light Supportive Living LLC

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

Practice location

Address
151 East Ave Fl 1, Lewiston, ME 04240-5666
Phone
(267) 904-0867

Authorised official

Name
Mathieu Mutanda Matanda
Title
Owner/Director
Phone
(267) 904-0867

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1790628352
Entity type
Organization
NPI issued
9 Apr 2026
Record last updated
9 Apr 2026

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.