Organization
PINE VALLEY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHSAN ABDALNABI (OWNER)
(207) 458-9338
Entity
Organization
Contact information
Practice address
173 WATER ST APT 1, WATERVILLE, ME 04901-6350
(207) 458-9338
Mailing address
173 WATER ST APT 1, WATERVILLE, ME 04901-6350
(207) 458-9338
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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