Divine Residential Care LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · South Portland, ME
NPI 1497440879 · NPPES record last updated Apr 10, 2023
Key facts
- NPI
- 1497440879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- DIVINE RESIDENTIAL CARE LLC
- Practice address
- 41 Townhouse Dr
South Portland, ME 04106-1948 - Phone
- (207) 400-9368
- NPI assigned
- Apr 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Ms. Ines Uwamahoro Sr.
- Title
- Ceo
- Phone
- (207) 400-9368
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
41 Townhouse Dr
South Portland, ME 04106-1948
Mailing address
41 Townhouse Dr
South Portland, ME 04106-1948
Phone (207) 400-9368
Other names
- Divine Residential Care LLC
Other providers in South Portland, ME
- Dignity Life LLC
- Dignity Residential Care LLC
- Trudy Dill
- Anya Dissen
- Divine Core LLC
- Elizabeth A Doane
- Jennifer Dodson
- Sarah Ann Doeur
- Cassandra M Dolan
- John Dolan
All providers in South Portland, 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 Apr 10, 2023. 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.