Southern Maine Homecare, LLC
In Home Supportive Care in Portland, ME. Organization (NPI-2).
NPI number1982191300
StatusActive
Last updated in NPPESApr 20, 2018
Details
- NPI
- 1982191300
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Maine Homecare, LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2018
- Last updated
- Apr 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | ME | Yes |
Other names
- Southern Maine Homecare, LLC (Doing Business As)
Practice location
118 Anderson StPortland, ME 04101-2546
Phone 207-615-3103
Mailing address
Po Box 3153Portland, ME 04104-3153
Phone 207-615-3103
Authorized official
Abdiaziz A Mohamed
Manager
2076153103
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