| NPI | 1063928695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARCISSE MUGISHA Owner 207-618-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-16 |