PARK STREET HOME WEST PARIS
NPI 1073666541
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in West Paris, ME
- Organization
- Residential Treatment Facility, Intellec...
About PARK STREET HOME WEST PARIS
This page provides the complete NPI Profile along with additional information for Park Street Home West Paris, a provider established in West Paris, Maine operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073666541 assigned on January 2007. The practitioner's primary taxonomy code is 320600000X with license number AUS2232 (ME). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Lori M Dean (Adm Owner)
- NPI
- 1073666541 Verify this NPI
- Provider Name
- PARK STREET HOME WEST PARIS
- Entity Type
- Organization
- Location Address
- 26 PARK STREET WEST PARIS, ME 04289
- Location Phone
- (207) 674-3372
- Location Fax
- (207) 527-2645
- Mailing Address
- 571 RICHARDSON HOLLOW RD GREENWOOD, ME 04255
- Mailing Phone
- (207) 527-2100
- Mailing Fax
- (502) 527-2645
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 08-22-2020
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Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- AUS2232
- License State
- ME
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073666541, enumerated as an "organization" on January 19, 2007.
The provider is located at 26 PARK STREET WEST PARIS, ME 04289 and the phone number is (207) 674-3372.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.