Organization
CARETAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN TUSHAR (PRESIDENT)
(612) 438-9343
Entity
Organization
Contact information
Practice address
411 CONGRESS ST STE 214, PORTLAND, ME 04101-3505
(612) 438-9343
Mailing address
415 CONGRESS ST STE 301M, PORTLAND, ME 04101-3586
(612) 438-9343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
12/12/2025
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