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

Emmanuel Theodory Dezdel

Individual provider Case Manager/Care Coordinator · NPI 1508794496

Emmanuel Theodory Dezdel is a Case Manager/Care Coordinator in Gorham, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2026
Specialties on file
7

Practice location Address checks out

240 Mosher Rd
Gorham, ME 04038-5835
Phone: (207) 298-0430
Fax: (207) 298-0430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chore Provider (primary) Taxonomy 372500000X (ME)
Case Manager/Care Coordinator Taxonomy 171M00000X (ME)
Adult Companion Taxonomy 372600000X (ME)
Day Training/Habilitation Specialist Taxonomy 373H00000X (ME)
Personal Care Attendant Taxonomy 3747P1801X (ME)
Homemaker Taxonomy 376J00000X (ME)
Home Health Aide Taxonomy 374U00000X (ME)

Record details

NPI number1508794496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address240 Mosher Rd, Gorham, ME 04038-5835

Other providers in Gorham