NPI 1508794496

Emmanuel Theodory Dezdel

Practitioner Chore Provider Gorham, ME

Practice location

Address: 240 Mosher Rd, Gorham, ME 04038-5835
Phone: (207) 298-0430
Fax: (207) 298-0430

Registered specialties (7)

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Day Training/Habilitation Specialist

Nursing Service Related Providers Taxonomy 373H00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1508794496
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2026
Record last updated: 27 May 2026

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.