# PATHWAY RESIDENTIAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174464267
- **Authorized official:** MIKE MUGISHA (MANAGING MEMBER)
- **Authorized official phone:** (405) 861-4998

## Contact information

- **Practice address:** 27 DUCHAINE DR, GORHAM, ME 04038-2085
- **Practice address phone:** (405) 861-4998
- **Mailing address:** 27 DUCHAINE DR, GORHAM, ME 04038-2085
- **Mailing address phone:** (405) 961-4998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026