Wyatt Residential Services LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Scarborough, Maine
1346134871- Practice location
- 78 Foxcroft Dr, Scarborough, ME 04074-8734
- Phone
- 207-409-0334
- Fax
- —
- Last updated
- June 9, 2025
Wyatt Residential Services LLC is a healthcare organization based in Scarborough, ME. Wyatt Residential Services LLC practices in Scarborough, ME. The NPI Number for Wyatt Residential Services LLC is 1346134871. The current practice location address for Wyatt Residential Services LLC is 78 Foxcroft Dr, Scarborough, ME 04074-8734 and can be reached out via phone at 207-409-0334.
Provider Profile Details
- NPI Number
- 1346134871
- Provider Name
- Wyatt Residential Services LLC
- Provider Entity Type
- Organization
- Address
- 78 Foxcroft Dr, Scarborough, ME 04074-8734
- Phone Number
- 207-409-0334
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Axel Nimbona · Ceo · 207-409-0334
- Provider Enumeration Date
- June 9, 2025
- Last Update Date
- June 9, 2025
- Certification Date
- June 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 78 Foxcroft Dr
Scarborough, ME 04074-8734 - City
- Scarborough
- State
- Maine
- Zip
- 04074-8734
- Phone Number
- 207-409-0334
Provider Business Mailing Address Details
- Address
- 78 Foxcroft Dr
Scarborough, ME 04074-8734 - City
- Scarborough
- State
- ME
- Zip
- 04074-8734
- Phone Number
- 207-409-0334
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wyatt Residential Services LLC?
The NPI number of Wyatt Residential Services LLC is 1346134871. It was assigned on June 9, 2025 and is currently active in the NPPES registry.
What is the specialty of Wyatt Residential Services LLC?
Wyatt Residential Services LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Wyatt Residential Services LLC practice?
The practice location is 78 Foxcroft Dr, Scarborough, ME 04074-8734. The office can be reached at 207-409-0334 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346134871 directly on the NPPES registry website.