Organization
SENIORS AND VETERANS RESIDENTIAL AND COMMUNITY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIEN BRICE BAHOUAMIO (OWNER)
(207) 572-0157
Entity
Organization
Contact information
Practice address
62 BRIDGE ST, LEWISTON, ME 04240-7510
(207) 572-0157
Mailing address
62 BRIDGE ST, LEWISTON, ME 04240-7510
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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