Individual
ABDULFATAH AMAN ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT(ASCP), MA
Contact information
Practice address
75 BISHOP ST, PORTLAND, ME 04103-2614
(207) 510-7680
(866) 381-5580
Mailing address
PO BOX 3588, PORTLAND, ME 04104-3588
(207) 344-5143
(866) 381-5580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
ME
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/25/2010
Last updated
03/04/2013
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