Wyatt Residential Services Llc

LBN: Wyatt Residential Services Llc
Wyatt Residential Services Llc is an health care organization with primary practice located at 78 Foxcroft Dr , Scarborough ME 04074-8734. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Wyatt Residential Services Llc can be contacted via phone (207) 409-0334, or through Nimbona, Axel via phone (207) 409-0334.

Contact Information

Primary practice address
78 Foxcroft Dr Scarborough ME 04074-8734
Phone: (207) 409-0334
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nimbona, Axel
Phone: (207) 409-0334

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1346134871
LBN Legal business name Wyatt Residential Services Llc
DBA Doing business as
Authorized official Nimbona, Axel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2025
Last updated Jun 9th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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