Organization
MAISHA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MUGWANEZA (OWNER/ADMINISTRATOR)
(603) 858-7872
Entity
Organization
Contact information
Practice address
650 MAIN ST, SOUTH PORTLAND, ME 04106-5448
(603) 858-7872
Mailing address
31 ROLLINS WAY, SOUTH PORTLAND, ME 04106-1942
(603) 858-7872
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
07/30/2024
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