OrganizationActive
Convenient Residential Care LLC
NPI 1376359307 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lewiston, ME
Provider details
- NPI number
- 1376359307
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Munyentwari, Ceo(207) 766-8371
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
11 Macadamia Ln
Lewiston, ME 04240-1816
Phone: (207) 766-8371
Approximate (ZIP-level) locationGet directions
Mailing address
11 Macadamia Ln
Lewiston, ME 04240-1816
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.