Organization
STELLAR LIVING HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ M ALI (OWNER)
(612) 703-1155
Entity
Organization
Contact information
Practice address
400 CONGRESS ST., #309, PORTLAND, ME 04101
(612) 703-1155
Mailing address
400 CONGRESS ST., #309, PORTLAND, ME 04101
(612) 703-1155
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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