Fidelis Residential Care LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gorham, ME
NPI 1396458790 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1396458790
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- FIDELIS RESIDENTIAL CARE LLC
- Practice address
- 54 Running Springs Rd
Gorham, ME 04038-1633 - Phone
- (207) 213-9053
- NPI assigned
- Dec 30, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Bisengimana Gakunzi
- Title
- Director of Finance
- Phone
- (207) 213-9053
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
54 Running Springs Rd
Gorham, ME 04038-1633
Mailing address
54 Running Springs Rd
Gorham, ME 04038-1633
Other providers in Gorham, ME
- Elli Care, Inc.
- Ashley Elizabeth Esmiller
- Family Care Tranportation
- Jacob Allan Fay-Shields
- Riley Joan Ferrigan
- Gregory Carver Finch
- Jennifer Lynn Finck
- Philip L Finemore
- Amelia Mary Fosler
- Karen Fox
All providers in Gorham, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.