Asaph Residential Care

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · South Portland, ME

NPI 1659059236 · NPPES record last updated Jul 5, 2023

Key facts

NPI
1659059236
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
ASAPH RESIDENTIAL CARE
Practice address
89 Devereaux Cir
South Portland, ME 04106-1814
Phone
(442) 532-4480
NPI assigned
Jul 5, 2023
Organization subpart
No

Authorized official

Name
Solomon G Mugirakamaro
Title
Ceo
Phone
(425) 324-4804

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

89 Devereaux Cir
South Portland, ME 04106-1814

Mailing address

89 Devereaux Cir
South Portland, ME 04106-1814
Phone (442) 532-4480

Other providers in South Portland, ME

All providers in South Portland, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

Sources for this page

Verify at the official NPI Registry.