# LEWISTON HOME CARE LLC

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

## Provider details

- **NPI number:** 1760297790
- **Authorized official:** QAROOWE ABDIRIZAK (OWNER)
- **Authorized official phone:** (207) 513-0977

## Contact information

- **Practice address:** 75 PARK ST UNIT 17, LEWISTON, ME 04240-7129
- **Practice address phone:** (207) 513-0977
- **Mailing address:** 75 PARK ST UNIT 17, LEWISTON, ME 04240-7129
- **Mailing address phone:** (207) 513-0977

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2025
- **Last updated:** 02/15/2025