Eagle Residential Services LLC

NPI #1063093904 in Portland, Maine

Provider Information

NPI Number
1063093904
Entity Type
Organization
Organization Name
Eagle Residential Services LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Apr 20, 2021
Last Updated
Jan 30, 2022

Practice Location

Address
246 AUBURN ST APT 39
State
Maine
ZIP Code
04103-2155
Phone
(207) 671-7635

Authorized Official

Name
MR. CHRISTIAN MUHUNDE
Title
MANAGING MEMBER
Phone
(207) 671-7635

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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