# DEGMO HOME CARE LLC

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

## Provider details

- **NPI number:** 1447956909
- **Authorized official:** CHOUKRI MAHAMOUD DSP (CEO)
- **Authorized official phone:** (207) 344-4597

## Contact information

- **Practice address:** 124 LISBON ST \# 3I, LEWISTON, ME 04240-7106
- **Practice address phone:** (207) 344-4597
- **Mailing address:** 124 LISBON ST \# 3I, LEWISTON, ME 04240-7106
- **Mailing address phone:** (207) 344-4597

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023