Individual provider · NPI-1

Abbas Ahmed

Home Health Aide · Portland, ME

NPI number1629553334
StatusActive
Last updated in NPPESSep 27, 2018

Details

NPI
1629553334
Entity type
Individual (NPI-1)
Name
Abbas Ahmed
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 27, 2018
Last updated
Sep 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide1717MEYes

Practice location

640 Brighton Ave
Portland, ME 04102

Phone 207-450-5359

Mailing address

640 Brighton Ave
Portland, ME 04102-1047

Phone 207-450-5359

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