Organization
GOLDENSTAR HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSAM DAHIR (FRONT DESK/ HR)
(207) 239-0634
Entity
Organization
Contact information
Practice address
68 BISHOP ST STE 3, PORTLAND, ME 04103-2681
(207) 239-0634
Mailing address
68 BISHOP ST STE 3, PORTLAND, ME 04103-2681
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
12/18/2020
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