Park Street Home West Paris
NPI #1073666541 in West Paris, Maine
Provider Information
- NPI Number
- 1073666541
- Entity Type
- Organization
- Organization Name
- Park Street Home West Paris
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 26 PARK STREET
- City
- West Paris
- State
- Maine
- ZIP Code
- 04289-5149
- Phone
- (207) 674-3372
Authorized Official
- Name
- MRS. LORI M DEAN
- Title
- ADM OWNER
- Phone
- (207) 527-2170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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