Cononiah Residential Care LLC
NPI #1720820079 in South Portland, Maine
Provider Information
- NPI Number
- 1720820079
- Entity Type
- Organization
- Organization Name
- Cononiah Residential Care LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 8, 2024
- Last Updated
- Jun 8, 2024
Practice Location
- Address
- 3 TOWNHOUSE DR
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1948
- Phone
- (207) 450-2063
Authorized Official
- Name
- MR. NARCISO SAMBO SR.
- Title
- CEO
- Phone
- (207) 450-2063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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