NPI 1790628352
Evening Light Supportive Living LLC
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
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.