Palms Residential Care

NPI #1265033088 in Portland, Maine

Provider Information

NPI Number: 1265033088
Entity Type: Organization
Organization Name: Palms Residential Care
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 1500 FOREST AVE APT 13D
City: Portland
State: Maine
ZIP Code: 04103-1846
Phone: (978) 620-8376

Authorized Official

Name: PATRICK KIFOKIE MULONDA
Title: CHIEF EXECUTIVE OFFICER
Phone: (978) 620-8376

Specialties & Taxonomy Codes

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

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