Paradise Residential Services LLC

NPI #1497387708 in Gorham, Maine

Provider Information

NPI Number
1497387708
Entity Type
Organization
Organization Name
Paradise Residential Services LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 5, 2020
Last Updated
Sep 14, 2021

Practice Location

Address
6 STEPHANIE DR
City
Gorham
State
Maine
ZIP Code
04038-1394
Phone
(207) 636-0009

Authorized Official

Name
JOCELYNE ININAHAZWE, MA
Title
CHIEF EXECUTIVE MANAGER
Phone
(207) 636-0009

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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