Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyatt Residential Services LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1346134871

Wyatt Residential Services LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Scarborough, Maine. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

78 Foxcroft Dr
Scarborough, ME 04074-8734
Phone: (207) 409-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1346134871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Axel Nimbona — Ceo · (207) 409-0334
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 8, 2025
Mailing address78 Foxcroft Dr, Scarborough, ME 04074-8734

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