A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Community Based Residential Treatment Facility, Mental Illness |
320800000X |
| NPI Number | 1720966880 |
| LBN Legal business name | MAMAS AUTONOMY CARE LLC |
| Authorized official | ANDY AYUK - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/25/2025 |
| Last updated | 08/25/2025 - About 10 months ago |
| Identifiers | n/a |
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