Daylight Residential Care LLC

NPI #1467205294 in Bangor, Maine

Provider Information

NPI Number
1467205294
Entity Type
Organization
Organization Name
Daylight Residential Care LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Apr 10, 2024
Last Updated
Apr 10, 2024

Practice Location

Address
629 MAIN ST
City
Bangor
State
Maine
ZIP Code
04401-6848
Phone
(682) 373-1189

Authorized Official

Name
MR. FRANCIS BANOGE GISORE
Title
PROGRAM MANAGER
Phone
(682) 373-1189

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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