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
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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