Wyatt Residential Services LLC
NPI #1346134871 in Scarborough, Maine
Provider Information
- NPI Number
- 1346134871
- Entity Type
- Organization
- Organization Name
- Wyatt Residential Services LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 9, 2025
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 78 FOXCROFT DR
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-8734
- Phone
- (207) 409-0334
Authorized Official
- Name
- AXEL NIMBONA
- Title
- CEO
- Phone
- (207) 409-0334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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