# SENIORS AND VETERANS RESIDENTIAL AND COMMUNITY SUPPORT

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

## Provider details

- **NPI number:** 1568359610
- **Authorized official:** MR. DAVIEN BRICE BAHOUAMIO (OWNER)
- **Authorized official phone:** (207) 572-0157

## Contact information

- **Practice address:** 62 BRIDGE ST, LEWISTON, ME 04240-7510
- **Practice address phone:** (207) 572-0157
- **Mailing address:** 62 BRIDGE ST, LEWISTON, ME 04240-7510

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 06/20/2025