OrganizationActive
Dignity Residential Care LLC
NPI 1255101135 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · South Portland, ME
Provider details
- NPI number
- 1255101135
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Providence Mbabazi, Ceo(617) 347-0448
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
712 Westbrook St Apt 4
South Portland, ME 04106-1993
Phone: (617) 347-0448
Approximate (ZIP-level) locationGet directions
Mailing address
712 Westbrook St Apt 4
South Portland, ME 04106-1993
Other names (DBA / former)
- Doing business as
- Dignity Residential Care LLC
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.