NPI | 1063172674 |
---|---|
Entity Type | Organization |
Authorized Contact | DIDIER RUNEZERWA Owner 207-518-1102 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
Enumeration Date | 2021-12-22 |
Last Update Date | 2023-11-07 |