MOONLIGHT GROUP HOMES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Lewiston, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MOONLIGHT GROUP HOMES LLC NPI is 1558987438. The provider is registered as an organization entity type.
The provider's business location address is:
253 LISBON STREET
LEWISTON, ME
ZIP 04240-704
Phone: (207) 344-4165
The provider's authorized official is Khasin Abdisalan Saban .
The authorized official title is Ceo and has the following contact phone number (207) 241-7299.
The enumeration date for this NPI number is 6/17/2020 and was last updated on 6/17/2020.