Provider Demographics
NPI:1821826504
Name:ITETERO CARE LLC
Entity type:Organization
Organization Name:ITETERO CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HYACINTHE
Authorized Official - Middle Name:MUREKATETE
Authorized Official - Last Name:MUNYANEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-807-9439
Mailing Address - Street 1:57 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1032
Mailing Address - Country:US
Mailing Address - Phone:207-807-9439
Mailing Address - Fax:
Practice Address - Street 1:57 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-1032
Practice Address - Country:US
Practice Address - Phone:207-807-9439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care