Organization
IBSA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBSA ABDULAHI (OWNER)
(207) 800-0078
Entity
Organization
Contact information
Practice address
265 LISBON ST UNIT 4, LEWISTON, ME 04240-7704
(207) 800-0078
Mailing address
265 LISBON ST UNIT 4, LEWISTON, ME 04240-7704
(207) 800-0078
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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