Organization · Type 2 NPI
Havenrise Residential Care LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, ME
Practice location
605 Stevens Ave Apt 118
Portland, ME 04103-2868
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 1942005798
Havenrise Residential Care LLC's National Provider Identifier is 1942005798, issued on Feb 17, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Portland, ME. The record was last updated on Feb 17, 2025.