Dynamic Residential Care, LLC
NPI #1154139830 in Scarborough, Maine
Provider Information
- NPI Number
- 1154139830
- Entity Type
- Organization
- Organization Name
- Dynamic Residential Care, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 26, 2024
- Last Updated
- Dec 26, 2024
Practice Location
- Address
- 19 PIN OAK DR APT 1906
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-8264
- Phone
- (207) 518-3592
Authorized Official
- Name
- MR. JOHN DUMBA BULENGA SR.
- Title
- CEO
- Phone
- (207) 518-3592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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