Organization
PREMIER PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIBRIL DUALE (OWNER)
(207) 450-1383
Entity
Organization
Contact information
Practice address
411 CONGRESS ST STE 301O, PORTLAND, ME 04101-3505
(207) 450-1383
Mailing address
411 CONGRESS ST STE 301O, PORTLAND, ME 04101-3505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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