Spark Residential, Llc.

NPI #1215887062 in Winthrop, Maine

Provider Information

NPI Number: 1215887062
Entity Type: Organization
Organization Name: Spark Residential, Llc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 31, 2026
Last Updated: Jan 31, 2026

Practice Location

Address: 23 BEECHWOOD DR
City: Winthrop
State: Maine
ZIP Code: 04364-3314
Phone: (207) 248-7362

Authorized Official

Name: AMY MACMILLAN
Title: OWNER/CEO
Phone: (207) 248-7362

Specialties & Taxonomy Codes

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

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