Organization
GOLDEN GROUP HOME SERVICES, LLC
Active
Other names
LIMITED LIABILITY COMPANY (LLC)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL KANYAMBO (CHIEF EXECUTIVE OFFICER)
(207) 415-5393
Entity
Organization
Contact information
Practice address
28 STATE ST STE 4, GORHAM, ME 04038-1147
(207) 415-5393
Mailing address
28 STATE ST STE 4, GORHAM, ME 04038-1147
(207) 415-5393
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
05/31/2021
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