Lisungi Group Home LLC

NPI #1043086812 in Westbrook, Maine

Provider Information

NPI Number: 1043086812
Entity Type: Organization
Organization Name: Lisungi Group Home LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 1, 2023
Last Updated: Dec 8, 2023

Practice Location

Address: 18 EVERETT ST
City: Westbrook
State: Maine
ZIP Code: 04092-3013
Phone: (207) 409-8837

Authorized Official

Name: JONATHAN BOBE, RN
Title: CHIEF EXECUTIVE OFFICER (CEO)
Phone: (207) 409-8837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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