OrganizationActive
Fidelis Residential Care LLC
NPI 1396458790 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gorham, ME
Provider details
- NPI number
- 1396458790
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Bisengimana Gakunzi, Director of Finance
Mailing address
54 Running Springs Rd
Gorham, ME 04038-1633
Registry dates
- Enumerated
- 2022-12-30
- Last updated
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.