NPI 1396390811
Golden Group Home Services, LLC
Practice location
- Address
- 28 State St STE 4, Gorham, ME 04038-1147
- Phone
- (207) 415-5393
Authorised official
- Name
- Michel Kanyambo
- Title
- Chief Executive Officer
- Phone
- (207) 415-5393
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1396390811
- Entity type
- Organization
- NPI issued
- 2 Aug 2019
- Record last updated
- 31 May 2021
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.