Legacy Residential Care LLC

NPI #1417727314 in Saco, Maine

Provider Information

NPI Number: 1417727314
Entity Type: Organization
Organization Name: Legacy Residential Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 20 GARFIELD ST APT 11
City: Saco
State: Maine
ZIP Code: 04072-2412
Phone: (646) 331-4597

Authorized Official

Name: MR. JULIEN RUKUNDO SR.
Title: CEO
Phone: (646) 331-4597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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