Overview
Name: IMPACTFUL RESIDENTIAL CARE, LLC
Specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Residential Treatment Facilities
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Specialization: .
Definition of Specialty: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: IMPACTFUL RESIDENTIAL CARE, LLC,27 SEAVEY ST,WESTBROOK,ME,040924336,US
Mailing Address: IMPACTFUL RESIDENTIAL CARE, LLC,PO BOX 8057,PORTLAND,ME,041048057,US
Contact #
Practice location phone #: 5712786103
Practice location fax #:
Mailing address Phone #: 2073103101
Mailing Address fax #:
Authorized official Name/Telephone #:DR., ASSUMPTA, MUKABUTERA, MPH, PH.D, CEO 2073103101
Misc
Date NPI was obtained: 03/24/2022
Last data data was updated: 03/24/2022
Insurances: