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Fidelity Residential Care Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, Maine
NPI 1144935644

Fidelity Residential Care Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portland, ME. Fidelity Residential Care Llc practices in Portland, ME. The NPI Number for Fidelity Residential Care Llc is 1144935644 and holds a License No. (Maine).

The current practice location address for Fidelity Residential Care Llc is 56 Sherman St Apt 5, Portland, ME and can be reached out via phone at 312-402-1521.

Location: 56 Sherman St Apt 5, Portland, ME, 04101-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144935644
Provider Name
Fidelity Residential Care Llc
Credential
Provider Entity Type
Organization
Address
56 Sherman St Apt 5, Portland, ME, 04101-2203
Phone Number
312-402-1521
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
56 Sherman St Apt 5
City
Portland
State
Maine
Zip
04101-2203
Phone Number
312-402-1521
Fax Number
person
Provider Business Mailing Address Details
Address
56 Sherman St Apt 5
City
Portland
State
Maine
Zip
04101-2203
Phone Number
312-402-1521
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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