# MAINE COASTLINE SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAINE COASTLINE SUPPORT LLC
- **Other names:** Maine Coastline Support LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821834912
- **Legal business name:** MAINE COASTLINE SUPPORT LLC
- **Authorized official:** NANAH B NGARAMBE (OWNER)
- **Authorized official phone:** (469) 441-6364

## Contact information

- **Practice address:** 17 SHEFFIELD AVE, LEWISTON, ME 04240-1609
- **Practice address phone:** (469) 441-6364
- **Mailing address:** 21 PIN OAK DR APT 2101, SCARBOROUGH, ME 04074-8266
- **Mailing address phone:** (469) 441-6364

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 06/10/2025