Organization · Type 2 NPI
Park Street Home West Paris
Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Paris, ME
Practice location
26 Park Street
West Paris, ME 04289-5149
Fax (207) 527-2645
Mailing address
571 Richardson Hollow Rd
Greenwood, ME 04255-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | AUS2232 (ME) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1073666541
Park Street Home West Paris's National Provider Identifier is 1073666541, issued on Jan 19, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in West Paris, ME. The record was last updated on Aug 22, 2020.