NPI 1497387708
Paradise Residential Services LLC
Practice location
- Address
- 6 Stephanie Dr, Gorham, ME 04038-1394
- Phone
- (207) 636-0009
Authorised official
- Name
- Jocelyne Ininahazwe
- Title
- Chief Executive Manager
- Phone
- (207) 636-0009
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1497387708
- Entity type
- Organization
- NPI issued
- 5 Feb 2020
- Record last updated
- 14 Sep 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.