Organization
GREAT HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLE ALI MOHAMUD (CEO)
(207) 420-5501
Entity
Organization
Contact information
Practice address
650 MAIN ST STE 214, SOUTH PORTLAND, ME 04106-5448
(207) 420-5501
Mailing address
650 MAIN ST STE 214, SOUTH PORTLAND, ME 04106-5448
(207) 420-5501
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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