Individual
EMMANUEL THEODORY DEZDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MOSHER RD, GORHAM, ME 04038-5835
(207) 298-0430
(207) 298-0430
Mailing address
240 MOSHER RD, GORHAM, ME 04038-5835
(207) 298-0430
(207) 298-0430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
ME
372500000X
Chore Provider
Primary
—
ME
372600000X
Adult Companion
—
ME
373H00000X
Day Training/Habilitation Specialist
—
ME
3747P1801X
Personal Care Attendant
—
ME
374U00000X
Home Health Aide
—
ME
376J00000X
Homemaker
—
ME
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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