Provider Demographics
NPI:1578028734
Name:URUGO RESIDENTIAL SERVICES, LLC
Entity Type:Organization
Organization Name:URUGO RESIDENTIAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ICOYITUNGIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-776-9585
Mailing Address - Street 1:26 ROLLINS WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-1945
Mailing Address - Country:US
Mailing Address - Phone:207-776-9585
Mailing Address - Fax:
Practice Address - Street 1:26 ROLLINS WAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-1945
Practice Address - Country:US
Practice Address - Phone:207-776-9585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health