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NPI 1265939748

OrganizationActive

Act Residential Care

NPI 1265939748 · In Home Supportive Care Agency · Portland, ME

Provider details

NPI number: 1265939748
Entity type: Organization
Primary specialty: In Home Supportive Care AgencyAgencies
Authorized official: Raphael Kabata Ngaykala, Executive Director

Practice location

63 Frederic St Apt 202

Portland, ME 04102-2762

Phone: (207) 409-2638

More ME providers

Mailing address

63 Frederic St Apt 202

Portland, ME 04102-2762

Registry dates

Enumerated: 2018-04-10
Last updated: 2023-08-28

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

Act Residential Care — NPI 1265939748, Portland, ME | NPI Central