Organization · Type 2 NPI
Impactful Residential Care, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Westbrook, ME
Practice location
27 Seavey St
Westbrook, ME 04092-4336
Mailing address
PO Box 8057
Portland, ME 04104-8057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1134879125
Impactful Residential Care, LLC's National Provider Identifier is 1134879125, issued on Mar 24, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Westbrook, ME. The record was last updated on Mar 24, 2022.