Excellent Residential Care LLC
NPI #1861088064 in Cape Elizabeth, Maine
Provider Information
- NPI Number
- 1861088064
- Entity Type
- Organization
- Organization Name
- Excellent Residential Care LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 12, 2020
- Last Updated
- Dec 12, 2020
Practice Location
- Address
- 60 WOODLAND RD APT B5
- City
- Cape Elizabeth
- State
- Maine
- ZIP Code
- 04107-1259
- Phone
- (704) 777-2188
Authorized Official
- Name
- MR. MORRIS BUTSITSI, DSP
- Title
- OPERATIONS MANAGER
- Phone
- (704) 777-2188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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