Organization
OPTIMUM COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIHAKIM ABDI DSP (CEO)
(207) 344-9899
Entity
Organization
Contact information
Practice address
315 LISBON ST, LEWISTON, ME 04240-7303
(207) 344-9899
Mailing address
PO BOX 1773, LEWISTON, ME 04241-1773
(207) 344-9899
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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