Convenient Residential Care LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lewiston, ME
NPI 1376359307 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1376359307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- CONVENIENT RESIDENTIAL CARE LLC
- Practice address
- 11 Macadamia LN
Lewiston, ME 04240-1816 - Phone
- (207) 766-8371
- NPI assigned
- Dec 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Richard Munyentwari, DSP
- Title
- Ceo
- Phone
- (207) 766-8371
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
11 Macadamia LN
Lewiston, ME 04240-1816
Mailing address
11 Macadamia LN
Lewiston, ME 04240-1816
Phone (207) 766-8371
Other providers in Lewiston, ME
- Julie Anne Conkright
- Skye Conley
- Connected Psychiatric Services, PLLC
- Kevin M Connelly
- Michael Connors
- Christopher K Cook
- Corinne Cook
- Michelle Elizabeth Cook
- Ann Patricia Cookson
- John William Cooper Jr.
All providers in Lewiston, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.