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NPI 1104596493

OrganizationActive

Destiny Residential Care, LLC

NPI 1104596493 · Community/Behavioral Health Agency · Westbrook, ME

Provider details

NPI number: 1104596493
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Anicet Bakunda, Managing Member

Practice location

15 Teri Cir Apt 82

Westbrook, ME 04092-3972

Phone: (207) 317-7828

More ME providers

Mailing address

15 Teri Cir Apt 82

Westbrook, ME 04092-3972

Registry dates

Enumerated: 2021-09-17
Last updated: 2021-09-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Destiny Residential Care, LLC — NPI 1104596493, Westbrook, ME | NPI Central