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Covenant Residential Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Portland, Maine
NPI 1568167708

Covenant Residential Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in South Portland, ME. Covenant Residential Services Llc practices in South Portland, ME. The NPI Number for Covenant Residential Services Llc is 1568167708 and holds a License No. (Maine).

The current practice location address for Covenant Residential Services Llc is 696 Westbrook St Apt 13A, South Portland, ME and can be reached out via phone at 207-252-8470.

Location: 696 Westbrook St Apt 13A, South Portland, ME, 04106-1987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568167708
Provider Name
Covenant Residential Services Llc
Credential
Provider Entity Type
Organization
Address
696 Westbrook St Apt 13A, South Portland, ME, 04106-1987
Phone Number
207-252-8470
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
696 Westbrook St Apt 13A
City
South Portland
State
Maine
Zip
04106-1987
Phone Number
207-252-8470
Fax Number
person
Provider Business Mailing Address Details
Address
696 Westbrook St Apt 13A
City
South Portland
State
Maine
Zip
04106-1987
Phone Number
207-252-8470
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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