IndividualActive
Emmanuel Dezdel
NPI 1508794496 · Chore Provider · Gorham, ME
Provider details
- NPI number
- 1508794496
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Adult Companion372600000X
Nursing Service Related Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
240 Mosher Rd
Gorham, ME 04038-5835
Phone: (207) 298-0430
Fax: (207) 298-0430
Approximate (ZIP-level) locationGet directions
Mailing address
240 Mosher Rd
Gorham, ME 04038-5835
Registry dates
- Enumerated
- 2026-05-11
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.