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1366096323
GREEN LEAF RESIDENTIAL CARE LLC
PORTLAND, ME
NPI
1366096323
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Entity Type
Organization
Authorized Contact
ANTOINE RUBENGA BIKAMBA
Managing Director
207-615-4036
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
GREEN LEAF RESIDENTIAL CARE LLC
24 WELLESLEY ESTS
PORTLAND, ME 04103-1170
Phone number: 207-615-4036
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Mailing Address
GREEN LEAF RESIDENTIAL CARE LLC
24 WELLESLEY ESTS
PORTLAND, ME 04103-1170
Phone number: 207-615-4036
Copy
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