NPI 1396458790

Fidelis Residential Care LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gorham, ME

Practice location

Address: 54 Running Springs Rd, Gorham, ME 04038-1633
Phone: (207) 213-9053

Authorised official

Name: Bisengimana Gakunzi
Title: Director of Finance
Phone: (207) 213-9053

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1396458790
Entity type: Organization
NPI issued: 30 Dec 2022
Record last updated: 30 Dec 2022

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.