| NPI | 1245989102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLASQUE ISIRABAHENDA Manager 207-831-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2022-03-19 |