Organization · NPI-2

Advance Health And Wellness LLC

In Home Supportive Care · Portland, ME

NPI number1629930102
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1629930102
Entity type
Organization (NPI-2)
Legal business name
Advance Health And Wellness LLC
Organization subpart
No
Enumeration date
Dec 2, 2025
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Advance Wellness LLC (Doing Business As)

Practice location

415 Congress St Ste 301o
Portland, ME 04101-3586

Phone 612-236-6763

Mailing address

5135 161st St W Apt 2103
Lakeville, MN 55044-8814

Phone 612-236-6763

Authorized official

Osman Mohamed
Owner
6198084999

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