Golden Group Home Services, LLC

NPI #1396390811 in Gorham, Maine

Provider Information

NPI Number: 1396390811
Entity Type: Organization
Organization Name: Golden Group Home Services, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 2, 2019
Last Updated: May 31, 2021

Practice Location

Address: 28 STATE ST STE 4
City: Gorham
State: Maine
ZIP Code: 04038-1147
Phone: (207) 415-5393

Authorized Official

Name: MR. MICHEL KANYAMBO
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 415-5393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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