Organization
OPTIMUS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ABDILLAHI MHRTC, DSP, MPH (CEO)
(571) 577-5957
Entity
Organization
Contact information
Practice address
124 CANAL ST, LEWISTON, ME 04240-8721
(571) 577-5957
Mailing address
PO BOX 324, LEWISTON, ME 04243-0324
(571) 577-5957
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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