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Divine Residential Care Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Portland, Maine
NPI 1497440879

Divine Residential Care Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in South Portland, ME. Divine Residential Care Llc practices in South Portland, ME. The NPI Number for Divine Residential Care Llc is 1497440879 and holds a License No. (Maine).

The current practice location address for Divine Residential Care Llc is 41 Townhouse Dr, South Portland, ME and can be reached out via phone at 207-400-9368.

Location: 41 Townhouse Dr, South Portland, ME, 04106-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497440879
Provider Name
Divine Residential Care Llc
Credential
Provider Entity Type
Organization
Address
41 Townhouse Dr, South Portland, ME, 04106-1948
Phone Number
207-400-9368
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
41 Townhouse Dr
City
South Portland
State
Maine
Zip
04106-1948
Phone Number
207-400-9368
Fax Number
person
Provider Business Mailing Address Details
Address
41 Townhouse Dr
City
South Portland
State
Maine
Zip
04106-1948
Phone Number
207-400-9368
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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