OrganizationActive
Excellent Residential Care LLC
NPI 1861088064 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cape Elizabeth, ME
Provider details
- NPI number
- 1861088064
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Morris Butsitsi, Operations Manager(704) 777-2188
Specialties & taxonomies
Residential Treatment Facilities
Practice location
60 Woodland Rd Apt B5
Cape Elizabeth, ME 04107-1259
Phone: (704) 777-2188
Approximate (ZIP-level) locationGet directions
Mailing address
60 Woodland Rd Apt B5
Cape Elizabeth, ME 04107-1259
Registry dates
- Enumerated
- 2020-12-12
- Last updated
- 2020-12-12
- Certified
- 2020-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.