Organization · NPI-2
Affinityhomecare
In Home Supportive Care · Portland, ME
NPI number1255979324
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1255979324
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinityhomecare
- Organization subpart
- No
- Enumeration date
- Dec 19, 2019
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
75 Lancaster St Ste 218aPortland, ME 04101
Phone 207-766-1210
Mailing address
49 Dartmouth St Ste BPortland, ME 04101-1700
Phone 207-766-1210
Authorized official
Mohamed H Mohamed
Owner
2077661210
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