NPI 1073666541

Park Street Home West Paris

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility West Paris, ME

Practice location

Address: 26 Park Street, West Paris, ME 04289-5149
Phone: (207) 674-3372
Fax: (207) 527-2645
Mailing address: 571 Richardson Hollow Rd, Greenwood, ME 04255-4215

Authorised official

Name: Lori M Dean
Title: Adm Owner
Phone: (207) 527-2170

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AUS2232 (ME)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maine →

Registry record

NPI: 1073666541
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.