Excellent Care & Support LLC

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

NPI 1750105763 · NPPES record last updated Nov 15, 2024

Key facts

NPI
1750105763
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
EXCELLENT CARE & SUPPORT LLC
Practice address
111 Third St Apt 3
Auburn, ME 04210-6789
Phone
(207) 601-2892
NPI assigned
Nov 15, 2024
Organization subpart
No

Authorized official

Name
Kabwe Wa Ngoy Mwilambwe
Title
Ceo
Phone
(207) 601-2892

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

111 Third St Apt 3
Auburn, ME 04210-6789

Mailing address

111 Third St Apt 3
Auburn, ME 04210-6789
Phone (207) 601-2892

Other providers in Auburn, ME

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

Sources for this page

Verify at the official NPI Registry.