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Moonlight Group Homes Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lewiston, Maine
NPI 1558987438

Moonlight Group Homes Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lewiston, ME. Moonlight Group Homes Llc practices in Lewiston, ME. The NPI Number for Moonlight Group Homes Llc is 1558987438 and holds a License No. (Maine).

The current practice location address for Moonlight Group Homes Llc is 253 Lisbon Street, Lewiston, ME and can be reached out via phone at 207-344-4165.

Location: 253 Lisbon Street, Lewiston, ME, 04240-7704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558987438
Provider Name
Moonlight Group Homes Llc
Credential
Provider Entity Type
Organization
Address
253 Lisbon Street, Lewiston, ME, 04240-7704
Phone Number
207-344-4165
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
253 Lisbon Street
City
Lewiston
State
Maine
Zip
04240-7704
Phone Number
207-344-4165
Fax Number
person
Provider Business Mailing Address Details
Address
253 Lisbon Street
City
Lewiston
State
Maine
Zip
04240-7704
Phone Number
207-344-4165
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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