Whalio Doctors

NPI 1497387708

Paradise Residential Services LLC

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

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
Residential Treatment Facilities Taxonomy 320900000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

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.