OrganizationActive
Golden Group Home Services, LLC
NPI 1396390811 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gorham, ME
Provider details
- NPI number
- 1396390811
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Michel Kanyambo, Chief Executive Officer
Mailing address
28 State St Ste 4
Gorham, ME 04038-1147
Registry dates
- Enumerated
- 2019-08-02
- Last updated
- 2021-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.