# MANDI HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033995790
- **Authorized official:** ABDIRAHMAN ABDIRISAK (OWNER)
- **Authorized official phone:** (612) 598-6177

## Contact information

- **Practice address:** 265 LISBON ST UNIT 2-2, LEWISTON, ME 04240-7704
- **Practice address phone:** (612) 598-6177
- **Mailing address:** 265 LISBON ST UNIT 2-2, LEWISTON, ME 04240-7704
- **Mailing address phone:** (612) 598-6177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 09/07/2023