| Benevolent Care Llc | |
|
37 W Dartmouth St Auburn ME 04210-6149 | |
| (207) 344-7675 | |
| Not Available |
| Full Name | Benevolent Care Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 37 W Dartmouth St, Auburn, Maine |
| Authorized Official Name and Position | Lony Mugisha (CEO) |
| Authorized Official Contact | 2073447675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolent Care Llc 37 W Dartmouth St Auburn ME 04210-6149 Ph: (207) 344-7675 | Benevolent Care Llc 37 W Dartmouth St Auburn ME 04210-6149 Ph: (207) 344-7675 |
| NPI Number | 1225604358 |
|---|---|
| Provider Enumeration Date | 05/30/2021 |
| Last Update Date | 05/30/2021 |
| Certification Date | 05/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225604358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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