# PORTLAND HOMEHEALTH CARE LLC

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

## Provider details

- **NPI number:** 1629766316
- **Authorized official:** SULTAN ENAN (MANGER)
- **Authorized official phone:** (207) 523-9819

## Contact information

- **Practice address:** 14 ISLAND VIEW DR UNIT 360, WESTBROOK, ME 04092-4466
- **Practice address phone:** (207) 523-9819
- **Mailing address:** 14 ISLAND VIEW DR UNIT 360, WESTBROOK, ME 04092-4466

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/22/2023
