King and Lord Care 'klc' LLC
NPI #1255048542 in South Portland, Maine
Provider Information
- NPI Number
- 1255048542
- Entity Type
- Organization
- Organization Name
- King and Lord Care 'klc' LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 4, 2022
- Last Updated
- Nov 4, 2022
Practice Location
- Address
- 501 WESTBROOK STREET 209B
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106
- Phone
- (207) 321-1605
Authorized Official
- Name
- MR. TRESOR ELIJAH BEYA
- Title
- CHIEF EXECUTIVE OFFICER CEO
- Phone
- (207) 321-1605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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