# RAISE UP HOME CARE LLC

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

## Provider details

- **NPI number:** 1942991351
- **Authorized official:** OTHMAN ENAN (CEO)
- **Authorized official phone:** (207) 239-9656

## Contact information

- **Practice address:** 535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
- **Practice address phone:** (207) 239-9656
- **Mailing address:** 535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
- **Mailing address phone:** (207) 239-9656

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 02/24/2025