Organization
PARADISE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYNE ININAHAZWE MA (CHIEF EXECUTIVE MANAGER)
(207) 636-0009
Entity
Organization
Contact information
Practice address
6 STEPHANIE DR, GORHAM, ME 04038-1394
(207) 636-0009
Mailing address
6 STEPHANIE DR, GORHAM, ME 04038-1394
(207) 636-0009
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
09/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up