Evening Light Supportive Living Llc

LBN: Evening Light Supportive Living Llc
Evening Light Supportive Living Llc is an health care organization with primary practice located at 151 East Ave Fl 1 , Lewiston ME 04240-5666. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Evening Light Supportive Living Llc can be contacted via phone (267) 904-0867, or through Matanda, Mathieu Mutanda via phone (267) 904-0867.

Contact Information

Primary practice address
151 East Ave Fl 1 Lewiston ME 04240-5666
Phone: (267) 904-0867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matanda, Mathieu Mutanda
Phone: (267) 904-0867

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1790628352
LBN Legal business name Evening Light Supportive Living Llc
DBA Doing business as
Authorized official Matanda, Mathieu Mutanda
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2026
Last updated Apr 9th, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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