OrganizationActive
Fidelity Residential Care LLC
NPI 1144935644 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, ME
Provider details
- NPI number
- 1144935644
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Jean Claude Munyaneza, Managing Director
Mailing address
56 Sherman St Apt 5
Portland, ME 04101-2203
Registry dates
- Enumerated
- 2023-01-18
- Last updated
- 2023-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.