Great Residential Home Care LLC
NPI #1295321487 in Portland, Maine
Provider Information
- NPI Number
- 1295321487
- Entity Type
- Organization
- Organization Name
- Great Residential Home Care LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 12, 2020
- Last Updated
- Dec 12, 2020
Practice Location
Authorized Official
- Name
- MR. JOSEPH BIZIMANA, DSP
- Title
- CEO
- Phone
- (207) 518-1535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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