Organization
NOURADINE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUAD GONI DSP (CEO)
(207) 241-1925
Entity
Organization
Contact information
Practice address
571 SABATTUS ST STE 9, LEWISTON, ME 04240-4156
(207) 241-1925
Mailing address
571 SABATTUS ST STE 9, LEWISTON, ME 04240-4156
(207) 241-1925
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/03/2025
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