Organization
BENESHA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB BIBOMBE MBUYI (CEO)
(207) 352-8964
Entity
Organization
Contact information
Practice address
26 ROLLINS WAY, SOUTH PORTLAND, ME 04106-1945
(207) 352-8964
Mailing address
26 ROLLINS WAY, SOUTH PORTLAND, ME 04106-1945
(207) 352-8964
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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