Mother Mary Home Care LLC
NPI #1245005586 in South Portland, Maine
Provider Information
- NPI Number
- 1245005586
- Entity Type
- Organization
- Organization Name
- Mother Mary Home Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 16, 2023
- Last Updated
- Nov 16, 2023
Practice Location
- Address
- 444 SAWYER ST APT 5
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-3944
- Phone
- (612) 205-1753
Authorized Official
- Name
- MR. VICTOR IRYAYO SR.
- Title
- CEO
- Phone
- (612) 205-1753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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